Combined CT, Fluoroscopic and IVUS Guidance for Percutaneous Treatment of a Postsurgical Pseudoaneurysm Following Repair of Ascending Thoracic Aortic Aneurysm

Cardiovasc Intervent Radiol. 2017 Dec;40(12):1945-1949. doi: 10.1007/s00270-017-1710-5. Epub 2017 Jun 5.

Abstract

Thoracic aortic pseudoaneurysms are a recognized complication following aortic arch replacement. The established first line treatment is surgical repair; however, this may not be feasible in all patients. Percutaneous treatment of ascending thoracic pseudoaneurysms has been described as an alternative for nonsurgical candidates. Utilization of multimodality imaging can prove invaluable in minimizing the risk of potentially fatal intra-procedural complications. We present a case of successful embolization using computer tomography-guided direct percutaneous puncture of the pseudoaneurysm, with concomitant endovascular treatment under fluoroscopic and intravascular ultrasound guidance in a patient with challenging vascular anatomy.

Keywords: Ascending aorta; Embolization; Endovascular; Percutaneous; Pseudoaneurysm.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / therapy*
  • Aortic Aneurysm, Thoracic / surgery*
  • Endovascular Procedures / methods*
  • Female
  • Fluoroscopy / methods
  • Humans
  • Male
  • Multimodal Imaging / methods
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / therapy*
  • Tomography, X-Ray Computed / methods*
  • Treatment Outcome
  • Ultrasonography, Interventional / methods*