Emergency Endovascular Management of a Symptomatic Pseudoaneurysm of the Left Subclavian Artery Ostium Using a Combination of an Abdominal Aortic Stent-Graft Extension Cuff and a Periscope Stent Graft

A pseudoaneurysm located at the subclavian artery ostium is an infrequent but life-threatening pathology that usually requires major thoracic surgery with a high risk of mortality and morbidity. Endovascular therapy applied to the aortic arch branches is a recent alternative technique, which is stil...

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Published inAnnals of vascular surgery Vol. 55; pp. 307.e13 - 307.e17
Main Authors Valdés, Diego Caicedo, Karkos, Christos D., Moy Petersen, Juan Carlos, Fernández, Julia Requena, González, Rodrigo Fernández
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.02.2019
Subjects
Aged
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Aneurysm, False - surgery
Aorta, Thoracic - diagnostic imaging
Aorta, Thoracic - surgery
Aortic Diseases - complications
Aortic Diseases - diagnostic imaging
Aortic Diseases - surgery
Aortography - methods
Atherosclerosis - complications
Atherosclerosis - diagnostic imaging
Atherosclerosis - surgery
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - instrumentation
Computed Tomography Angiography
Emergencies
Endovascular Procedures - instrumentation
Humans
Male
Prosthesis Design
Stents
Subclavian Artery - diagnostic imaging
Subclavian Artery - surgery
Treatment Outcome
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Summary:A pseudoaneurysm located at the subclavian artery ostium is an infrequent but life-threatening pathology that usually requires major thoracic surgery with a high risk of mortality and morbidity. Endovascular therapy applied to the aortic arch branches is a recent alternative technique, which is still in its early stages because dedicated endovascular devices for the aortic arch are lacking. In this article, we present the emergency endovascular management of a symptomatic pseudoaneurysm of the left subclavian artery ostium which was presumably secondary to an atherosclerotic plaque rupture. Endovascular exclusion required a combination of an abdominal aortic stent-graft extension cuff, which was placed via a retroperitoneal iliac access, and a subclavian artery periscope stent graft.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
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ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
ObjectType-Article-4
ISSN:0890-5096
1615-5947
DOI:10.1016/j.avsg.2018.06.033