Stent-graft Repair of Proximal Splenic Artery Aneurysm
| Autor: | M. Castillo-Rama, J. Macierewicz, D. Kasir, S. Singh, J. Mackinlay |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Groin business.industry medicine.medical_treatment Stent Femoral artery Splenic artery medicine.disease Surgery Lesion Catheter Splenic artery aneurysm medicine.anatomical_structure Aneurysm Endovascular repair medicine.artery Stent graft medicine Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | EJVES Extra. 6:62-63 |
| ISSN: | 1533-3167 |
| DOI: | 10.1016/s1533-3167(03)00084-0 |
| Popis: | We describe thefeasibility of endovascular exclusion of SAA using astent-graft.Case ReportA 68-year-old male patient was incidentally found tohave a visceral aneurysm on abdominal ultrasoundscan when investigated for haemo-chromatosis. CTangiography demonstrated a 3 cm SAA. A digitalsubtraction angiogram (DSA) depicted the lesion inthe proximal splenic artery, arising 2 cm distal to theorigin of the hepatic artery. Proximal and distal splenicartery (SA) diameters were both 6 mm (Fig. 1). Anattempt to embolise the distal SA was aborted when acoil started to straighten the catheter at the first tightcurve of the SA, and the catheter retracted proximallyrisking a misplacement of coils, i.e. proximally to theorigin of the SAA.A combined surgical and radiological approach forendovascular exclusion with a 9F 8 £ 70 mm Wallgraftcovered stent (Boston Scientific International) wasscheduled at a separate session. As the groin arterieswere heavily calcified surgical exposure of the rightcommon femoral artery was undertaken to facilitateinsertion of a 10F sheath for catheterisation of the SAdistal to the aneurysm. An Amplatz superstiff 0.035 |
| Databáze: | OpenAIRE |
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