Endovascular coil embolization of a complex aortic arch pseudoaneurysm following arch stenting

Meijs, Timion A; Krings, Gregor; Molenschot, Mirella; Voskuil, Michiel

doi:10.1002/ccd.28424

Cited by 4 publications

(6 citation statements)

References 15 publications

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“…Complete occlusion of the pseudoaneurysm was achieved by successive placement of 24 Ruby coils. 16 Our case confirms the experience that these retrievable large vol-…”

Section: Discussionsupporting

confidence: 85%

“…A similar case of an 11‐month‐old infant with hypoplastic left heart syndrome and coronary steal due to aortic regurgitation was reported by El‐Said et al In this case, the left ventricular cavity was occluded in the cath lab by sequential packing with six detachable Azur R coils (Terumo, Tokyo). Successful occlusion of a dissecting aneurysm in a diverticulum of Kommerell using Ruby coils was reported by Yu et al, while Meijs et al described embolization of a 20 mm × 14 mm aortic pseudoaneurysm . The pseudoaneurysm had developed following high‐pressure redilatation of a noncovered stent which was implanted for treatment of recoarctation.…”

Section: Discussionmentioning

confidence: 99%

“…13 A similar case of an 11-month-old infant with hypoplastic left heart syndrome and coronary steal due to aortic regurgitation was reported by El-Said et al 14 aortic pseudoaneurysm. 15,16 The pseudoaneurysm had developed following high-pressure redilatation of a noncovered stent which was implanted for treatment of recoarctation. Complete occlusion of the pseudoaneurysm was achieved by successive placement of 24 Ruby coils.…”

Section: Discussionmentioning

confidence: 99%

“…The pseudoaneurysm had developed following high‐pressure redilatation of a noncovered stent which was implanted for treatment of recoarctation. Complete occlusion of the pseudoaneurysm was achieved by successive placement of 24 Ruby coils …”

Section: Discussionmentioning

confidence: 99%

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Coil occlusion of a congenital left ventricular aneurysm in a newborn

Hofbeck

Sieverding

Grözinger³

et al. 2020

Cathet Cardio Intervent

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We report interventional treatment of a congenital left ventricular aneurysm in a neonate. The aneurysm was detected prenatally at 20 weeks of gestation. Postnatally, the aneurysm increased in size during the first few days of life and therefore we opted for interventional closure to abolish the potential risk of rupture. The aneurysm was entered with a 2.7 French microcatheter, and complete occlusion was achieved by successive placement of three detachable large volume coils (Ruby Coil Penumbra R , Alameda, California). To the best of our knowledge, this is the first report describing interventional occlusion of a congenital ventricular aneurysm in early infancy. Interventional occlusion with detachable large volume coils appears to be an attractive alternative to surgical resection in patients presenting with ventricular outpouchings and narrow base connection to the ventricle.

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“…Complete occlusion of the pseudoaneurysm was achieved by successive placement of 24 Ruby coils. 16 Our case confirms the experience that these retrievable large vol-…”

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Coil occlusion of a congenital left ventricular aneurysm in a newborn

Hofbeck

Sieverding

Grözinger³

et al. 2020

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…However, data from cases about the treatment of other vascular pseudoaneurysms (ie, cerebral post-traumatic or aortic arch) and from few other patients with pseudoaneurysm of the kidney transplant artery have confirmed the efficacy of coil embolization. 7,13,15,16 Our patient had an anastomotic pseudoaneurysm leading to renal and external iliac artery stenosis. Thus, she suddenly developed acute renal failure.…”

Section: Discussionmentioning

confidence: 80%

Anastomotic Pseudoaneurysm in Kidney Transplant: A Challenging Management for a Rare Entity

et al. 2022

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Purpose: Anastomotic pseudoaneurysms of transplanted kidneys are a very rare complication encountered in less than 1% of cases. They may be devastating, leading to functional impairment, kidney transplantectomy, or death. Treatment has not been standardized, with open surgical repair considered the safest procedure even if it is often complicated by bleeding and graft loss. The purpose of this case report is to describe an endovascular treatment of this condition, consisting of the combination of coil embolization and arterial stenting. Case report: A 61-year-old woman developed an anastomotic pseudoaneurysm 2 months after kidney transplantation, causing acute kidney injury related to ab-extrinsic stenosis of the transplant renal artery (TRA) and external iliac artery. The pseudoaneurysm was successfully treated by coil embolization, and the arterial patency was restored by the stenting of TRA and external iliac artery. The patient completely recovered kidney function, and after a 6-month-follow-up, creatinine values were stable with normal renal perfusion. Conclusion: Endovascular repair through coil embolization and TRA stenting can be a safe and effective option to treat anastomotic pseudoaneurysm in kidney transplant.

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Stent-Assisted Coil Embolization of a Saccular Visceral Aortic Aneurysm: Case Report and Review of the Literature

et al. 2023

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Purpose: We present the results of unconventional endovascular treatment of a voluminous (65 mm) saccular visceral aortic aneurysm in a 78-year-old woman. Patient was deemed unfit for open surgery due to comorbidities. Fenestrated or branched endografting was also excluded due to the small diameter of the aorta, the severe stenosis at the origin of celiac trunk, and the anomalous origin of superior mesenteric artery arising infrarenally. Case Report: After a preliminary selective angiography of the superior mesenteric artery showing valid anastomotic network with celiac trunk branches, an aortic self-expandable bare stent (Jotec E-XL) was deployed in the visceral aorta. Aneurysm sac embolization (Penumbra detachable Ruby Coils) in a coil-jailing technique was performed. Finally, an aortic cuff endograft (Gore) was deployed immediately above the origin of the left renal artery to cover the wide neck of the saccular aneurysm and improve sac exclusion. Hospital stay was uneventful, computed tomography (CT) at 12-month demonstrated aneurysm shrinkage to 62 mm without images of endoleak. Literature review showed how this technique has successfully been applied to manage similar cases of postsurgical and posttraumatic saccular aortic aneurysms in high-risk patients; however, long-term results are still unknown. Conclusion: Coil-jail technique for the treatment of saccular aortic aneurysms can be considered an alternative when open surgery or conventional endovascular treatment is not feasible. Technical success and mid-term outcomes are promising but strict follow-up is recommended. Clinical Impact This study aims to share the unconventional endovascular treatment of a visceral aortic aneurysm in a patient unfit both for open and traditional endovascular surgery. To the best of our knowledge this is one of the first cases published in Literature, for this reason, a step-by-step video has been created to describe the procedure. Literature review was then performed to analyze midterm results of this technique. Despite being a treatment that is not recommended for conventional cases, the knowledge of endovascular devices and techniques may help to manage or simplify complex aortic diseases.

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Endovascular coil embolization of a complex aortic arch pseudoaneurysm following arch stenting

Cited by 4 publications

References 15 publications

Coil occlusion of a congenital left ventricular aneurysm in a newborn

Coil occlusion of a congenital left ventricular aneurysm in a newborn

Anastomotic Pseudoaneurysm in Kidney Transplant: A Challenging Management for a Rare Entity

Stent-Assisted Coil Embolization of a Saccular Visceral Aortic Aneurysm: Case Report and Review of the Literature

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