Endograft-assisted Coil Embolization of a Celiac Trunk Aneurysm
| Autor: | Francisco Gómez-Palonés, Beatriz Genovés-Gascó, Diana Cester-Ves, Ángel Plaza-Martínez |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Splenic artery Prosthesis Design Aortic aneurysm Hepatic Artery Aneurysm Celiac Artery medicine.artery Occlusion Humans Medicine Splanchnic Circulation cardiovascular diseases Embolization Aged Coil embolization business.industry General Medicine medicine.disease Embolization Therapeutic Trunk Surgery Treatment Outcome medicine.anatomical_structure Regional Blood Flow cardiovascular system Stents Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Splenic Artery Angioplasty Balloon Artery |
| Zdroj: | Annals of Vascular Surgery. 28:263.e1-263.e5 |
| ISSN: | 0890-5096 |
| DOI: | 10.1016/j.avsg.2013.02.022 |
| Popis: | Background Celiac trunk aneurysms are rare but potential life-threatening lesions. Endovascular techniques are more often used for their treatment because of low rates of morbidity and mortality. Case Report We describe a modification of stent-assisted coil embolization technique more commonly used in the treatment of intracranial aneurysm, to exclude a 50-mm diameter celiac trunk aneurysm. The patient was a 67-year-old man who had a previous exclusion of a symptomatic aortic aneurysm, with occlusion of the inferior mesenteric and both hypogastric arteries. Anatomic features of the celiac trunk aneurysm and its branches do not allow treatment with a straight endograft or maintain direct flow to the hepatic artery. We then performed an endograft-assisted coil embolization of the aneurysm, with a straight flow line to the splenic artery. Conclusion Endograft-assisted coil embolization is a feasible and safe technique to allow selective embolization of the sac and the presence of direct flow to the splenic artery and indirect flow to the hepatic artery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|