Anastomotic false aneurysm of the aorta: closure with a "sandwiched" coil.
| Autor: | Barbetta I; Service of Interventional Radiology, Ospedale Regionale di Lugano, Lugano, Switzerland Università degli Studi di Milano, Milan, Italy., Giovannacci L; Service of Vascular Surgery, Ospedale Regionale di Lugano, Lugano, Switzerland., Canevascini R; Service of Angiology, Ospedale Regionale di Lugano, Lugano, Switzerland., van den Berg JC; Service of Interventional Radiology, Ospedale Regionale di Lugano, Lugano, Switzerland jos.vandenberg@eoc.ch. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists [J Endovasc Ther] 2015 Jun; Vol. 22 (3), pp. 466-9. Date of Electronic Publication: 2015 Apr 10. |
| DOI: | 10.1177/1526602815579902 |
| Abstrakt: | Purpose: To describe the treatment of a noninfected saccular anastomotic false aneurysm (AFA) of the abdominal aorta with the use of a single "sandwiched" coil. Case Report: A 65-year-old man presented with a saccular AFA of the distal anastomosis exactly at the level of the aortic bifurcation 1 month after open abdominal aortic aneurysm repair. Endograft exclusion was not attempted because an aortouni-iliac configuration would have sacrificed a patent iliac axis. Coil embolization was the preferred strategy. Use of 3-dimensional rotational angiography and 3-dimensional roadmap was necessary to cannulate the neck of the AFA. Complete thrombosis and shrinkage of the sac was achieved by "sandwich coiling" of the neck after deployment of a single pushable hydrogel-coated coil. Imaging at 9 months postprocedure showed no sign of the aneurysm sac. Conclusion: This novel technique can be used for selected saccular AFAs with a narrow neck. In such cases, sandwich coiling may avoid sacrifice of a patent iliac axis. (© The Author(s) 2015.) |
| Databáze: | MEDLINE |
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