K. Koseoglu, B. Cildag, S. Sen, M. Boga, M. Parildar EJVES Extra

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Presentation transcript:

Endovascular Treatment of a Mycotic Subclavian Artery Aneurysm Using Stent-graft K. Koseoglu, B. Cildag, S. Sen, M. Boga, M. Parildar EJVES Extra Volume 11, Issue 5, Pages 97-101 (May 2006) DOI: 10.1016/j.ejvsextra.2006.02.002 Copyright © 2006 Elsevier Ltd Terms and Conditions

Fig. 1 There are seen several CT section of upper thorax. A thick walled aneurysm (arrow) of left subclavian artery is seen on contrast enhanced CT. A cavitary lesion (arrow head) adjacent to aneurysm in the anterior lobe of left lung and anterior thorax wall is seen on level of aortic arc on CT images. EJVES Extra 2006 11, 97-101DOI: (10.1016/j.ejvsextra.2006.02.002) Copyright © 2006 Elsevier Ltd Terms and Conditions

Fig. 2 (A) CT angiography demonstrated a broad necked aneurysm (arrow) of left subclavian artery. (B) Selective left subclavian artery catheter angiography clearly showed the parent artery and the aneurysm (arrow). There is also seen thin left vertebral artery (arrow head). EJVES Extra 2006 11, 97-101DOI: (10.1016/j.ejvsextra.2006.02.002) Copyright © 2006 Elsevier Ltd Terms and Conditions

Fig. 3 (A) Native angiographic image of stent-grafts after balloon angioplasty shows the patency of parent artery and minimal filling due to endoleak (arrowhead) into the aneurysm sac. (B) Subtracted image clearly shows the type III endoleak (arrow). EJVES Extra 2006 11, 97-101DOI: (10.1016/j.ejvsextra.2006.02.002) Copyright © 2006 Elsevier Ltd Terms and Conditions

Fig. 4 One day after, Doppler US of left subclavian artery shows the endoleak (arrow) arising from a hole of stent-graft. There is also seen thrombosed aneusym sac (arrow head). EJVES Extra 2006 11, 97-101DOI: (10.1016/j.ejvsextra.2006.02.002) Copyright © 2006 Elsevier Ltd Terms and Conditions

Fig. 5 Five months after the endovascular treatment, CT images (A) and CT angiography (B) show that there is no filling into aneurysm sac (arrow) and the parent artery is patent. EJVES Extra 2006 11, 97-101DOI: (10.1016/j.ejvsextra.2006.02.002) Copyright © 2006 Elsevier Ltd Terms and Conditions