Endovascular coil embolization of a complex aortic arch pseudoaneurysm following arch stenting. Issue 7 (7th August 2019)

• Record Type: Journal Article
• Authors: Meijs, Timion A.; Krings, Gregor J.; Molenschot, Mirella M. C.; Voskuil, Michiel
• Is Part Of: Catheterization and cardiovascular interventions. Volume 94:Issue 7(2019)
• Page Start: 1006
• Page End: 1009
• Publication Date: 2019-08-07
• Subjects: aortic arch stenting -- coil embolization -- false aneurysm; Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.28424
• Languages: English
• ISSNs: 1522-1946

Abstract

Abstract: Pseudoaneurysm formation is a life‐threatening complication of thoracic aortic stenting due to the high risk of rupture. When located in the aortic arch, anatomic features may pose difficulties in choosing the optimal treatment strategy. Here, we describe the first poststenting aortic arch pseudoaneurysm treated by endovascular coil embolization. This approach, which we performed in a multidisciplinary setting, may be a feasible alternative in patients not considered suitable for open repair or stent‐grafting. As an acute pseudoaneurysm may develop and rapidly expand during the first days after aortic stenting, early follow‐up imaging is preferable.