Document Detail


Glue embolus complicating the endovascular treatment of a patient with Loeys-Dietz syndrome.
MedLine Citation:
PMID:  20655686     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 34-year-old [corrected] woman was diagnosed with Loeys-Dietz syndrome. Five months later, the patient presented with a symptomatic 2.6-cm subclavian pseudoaneurysm. Staged endovascular treatment was initiated with left vertebral artery embolization, followed by sac ablation and stent graft exclusion. The pseudoaneurysm cavity was filled with n-butylcyanoacrylate ("glue") via a microcatheter. Despite balloon occlusion of the pseudoaneurysm orifice, a small amount of glue debris embolized to the brachial artery, necessitating a vein bypass. In this case, distal embolization of glue may have been avoided by leaving a microcatheter in the aneurysm sac for glue injection after first deploying the stent graft.
Authors:
Leopoldo Marine; Rishi Gupta; Heather L Gornik; Vikram S Kashyap
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-23
Journal Detail:
Title:  Journal of vascular surgery     Volume:  52     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-05     Completed Date:  2010-12-10     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1350-3     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Pontificia Universidad Catolica de Chile, Santiago, Chile.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, False / radiography,  therapy*
Balloon Occlusion
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / instrumentation
Embolism / etiology*,  surgery
Embolization, Therapeutic / adverse effects*
Enbucrilate / administration & dosage,  adverse effects*
Endovascular Procedures*
Female
Humans
Injections, Intralesional
Loeys-Dietz Syndrome / radiography,  therapy*
Stents
Subclavian Artery / radiography,  surgery*
Tissue Adhesives / administration & dosage,  adverse effects*
Tomography, X-Ray Computed
Treatment Outcome
Chemical
Reg. No./Substance:
0/Tissue Adhesives; 6606-65-1/Enbucrilate
Comments/Corrections
Erratum In:
J Vasc Surg. 2011 Feb;53(2):564

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


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