Key result
Endovascular coil embolization safely achieved hemostasis in a 59-year-old male with neurofibromatosis type 1 complicated by a spontaneous rupture of a posterior tibial artery pseudoaneurysm.
Case Report (n=1)
No
Endovascular coil embolization is an effective and safe treatment for spontaneous arterial rupture associated with vascular fragility in neurofibromatosis type I.
Endovascular embolization may control NF-1 aneurysm rupture; leaves open comparative efficacy versus surgery in larger series.
症例は59歳，男性．急性に発症した右下肢痛を主訴に入院．胸腹骨盤部造影CTで右後脛骨動脈瘤破裂を認め，血管内治療（コイル塞栓術）を施行し，安全に止血が得られた．精査の結果，神経線維腫症1型（neurofibromatosis type I：NF-1）と診断した．NF-1は有病率が比較的高い遺伝疾患で，血管脆弱性を背景とした病態を認め，血管の破綻を来たした本症の治療法として血管内治療が有効である可能性がある．
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Kikyotani et al. (2016) conducted a case report in Neurofibromatosis type 1 with ruptured posterior tibial artery pseudoaneurysm (n=1). Endovascular coil embolization was evaluated on Hemostasis and symptom improvement. Endovascular coil embolization safely achieved hemostasis in a 59-year-old male with neurofibromatosis type 1 complicated by a spontaneous rupture of a posterior tibial artery pseudoaneurysm.
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