Document Detail


Coil occlusion of a subclavian mycotic aneurysm.
MedLine Citation:
PMID:  20146324     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the first successful application of nonferromagnetic embolization coils for endovascular exclusion of a mycotic right subclavian artery aneurysm. A 58-year-old woman presented with acute cervical pain and a pulsatile mass in the right supraclavicular fossa under antibiotic medication for subacute infectious endocarditis. Diagnostic work-up including duplex sonography, digital subtraction angiography, and magnetic resonance imaging demonstrated a saccular aneurysm of the extrathoracic right subclavian artery. As an alternative to open surgery or stent-graft repair, this pathology was electively treated by transcatheter coil embolization. No neurological deficit or ischemic symptoms were noted during 9 months clinical follow-up. Multislice computed tomography scan revealed complete occlusion of the mycotic aneurysm 6 months after the interventional procedure. Transcatheter closure with Inconel embolization coils is a cost-effective and safe therapeutic option in patients with mycotic aneurysm originating from the subclavian artery.
Authors:
Stephan Kische; Hüseyin Ince; Matthias Peuster
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  75     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-02     Completed Date:  2010-09-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1116-20     Citation Subset:  IM    
Affiliation:
Department of Medicine, University Hospital Rostock, Rostock School of Medicine, Rostock, Germany.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Infected / diagnosis,  microbiology,  therapy*
Angiography, Digital Subtraction
Anti-Bacterial Agents / therapeutic use
Embolization, Therapeutic* / instrumentation
Endocarditis, Subacute Bacterial / drug therapy,  microbiology*
Female
Humans
Magnetic Resonance Angiography
Middle Aged
Subclavian Artery* / microbiology,  radiography,  ultrasonography
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Doppler, Duplex
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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