Anastomotic False Aneurysm of the Aorta: Closure With a "Sandwiched" Coil. (June 2015)

• Record Type: Journal Article
• Authors: Barbetta, Iacopo; Giovannacci, Luca; Canevascini, Reto; van den Berg, Jos C.
• Is Part Of: Journal of endovascular therapy. Volume 22:Number 3(2015:Jun.)
• Page Start: 466
• Page End: 469
• Publication Date: 2015-06
• Subjects: abdominal aortic aneurysm -- anastomotic false aneurysm -- pseudoaneurysm -- coil embolization -- hydrogel-coated coil; Blood-vessels -- Endoscopic surgery -- Periodicals; Angioscopy -- Periodicals; Intravenous catheterization -- Periodicals; Peripheral vascular diseases -- Treatment -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioscopy -- Periodicals; Catheterization, Peripheral -- Periodicals; Peripheral Vascular Diseases -- therapy -- Periodicals; Angioscopie; Maladies vasculaires périphériques; 617.413
• DOI: 10.1177/1526602815579902
• Languages: English
• ISSNs: 1526-6028

Abstract

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.