| False aneurysm after balloon dilation of a calcified innominate artery stenosis. | |
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MedLine Citation:
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PMID: 14533958 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To describe the occurrence of a false aneurysm after percutaneous transluminal angioplasty of a severely calcified, high-grade stenosis of the brachiocephalic trunk. CASE REPORT: A 68-year-old patient was admitted with cerebrovascular insufficiency, right upper extremity ischemia, and recurrent amaurosis fugax. Magnetic resonance arteriography (MRA) and duplex ultrasound revealed a severely calcified, high-grade stenosis of the innominate artery. Balloon dilation of this lesion was performed with minimal morphological success. After dilation, the patient suffered a reversible ischemic neurological deficit, from which he recovered completely. The patient's symptoms improved, but after 3 weeks he was re-admitted with palsy of the recurrent laryngeal nerve. An MRA showed a false aneurysm at the dilation site. Open surgery was performed, and the patient received a bifurcated aorto-subclavian-carotid bypass graft. He was discharged free of his preoperative symptoms. CONCLUSIONS: This case illustrates the potential hazards of angioplasty of severely calcified stenoses of the supra-aortic vessels. |
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Authors:
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Johannes Walter; Wolfgang J Hofmann; Ara Ugurluoglu; Heinrich Magometschnigg |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 10 ISSN: 1526-6028 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2003 Aug |
Date Detail:
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Created Date: 2003-10-09 Completed Date: 2004-03-11 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 825-8 Citation Subset: IM |
Affiliation:
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Department of Vascular Surgery, St John's Hospital, Salzburg, Austria. j.walter@lks.at |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm, False / etiology* Arteriosclerosis / complications, therapy* Balloon Dilatation / adverse effects* Brachiocephalic Trunk* Calcinosis / complications, therapy* Humans Male |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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