Robotic system-assisted endovascular treatment of a dissection-related pseudoaneurysm of the celiac axis secondary to fibromuscular dysplasia Wonho Kim,

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Robotic system-assisted endovascular treatment of a dissection-related pseudoaneurysm of the celiac axis secondary to fibromuscular dysplasia Wonho Kim, MD, Ripal T. Gandhi, MD, Constantino S. Peña, MD, Robert E. Tartaglione, MD, Michele L. Taubman, MD, Barry T. Katzen, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 2, Issue 3, Pages 145-148 (September 2016) DOI: 10.1016/j.jvscit.2016.06.001 Copyright © 2016 Terms and Conditions

Fig 1 Preoperative computed tomography cross sections in axial (A) and sagittal (B) views demonstrate the double-lumen sign of the celiac artery dissection (black arrow) and the celiac artery dissection with an associated pseudoaneurysm (white arrow). Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 145-148DOI: (10.1016/j.jvscit.2016.06.001) Copyright © 2016 Terms and Conditions

Fig 2 Aortogram (A) and selective angiogram (B) of the celiac axis showing the spontaneous celiac artery dissection with associated pseudoaneurysm (arrow). Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 145-148DOI: (10.1016/j.jvscit.2016.06.001) Copyright © 2016 Terms and Conditions

Fig 3 Robotic system enhances the cannulation at the orifice of celiac trunk and maintains stability (A) during passage of stiff wires and stent (arrow, B). Coil packing embolization was performed with stent-assisted technique (C) because of persistent filling of the pseudoaneurysm. After a microcatheter was advanced through the interstices of the stent, the pseudoaneurysm was coil embolized (arrow, D). Completion angiography demonstrated good flow into the distal arteries with nearly absent flow into the pseudoaneurysm sac (E). Journal of Vascular Surgery Cases and Innovative Techniques 2016 2, 145-148DOI: (10.1016/j.jvscit.2016.06.001) Copyright © 2016 Terms and Conditions