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Coil occlusion of a subclavian mycotic aneurysm
Author(s) -
Kische Stephan,
Ince Hüseyin,
Peuster Matthias
Publication year - 2010
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22389
Subject(s) - medicine , mycotic aneurysm , aneurysm , subclavian artery , occlusion , radiology , cardiology , surgery
Abstract 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. © 2010 Wiley‐Liss, Inc.