Embolization of the false lumen using IMPEDE-FX embolization plugs as part of treatment of an infrarenal post-dissection aneurysm: a case report

CVIR Endovascular

article

Jansen, Anne-Jet S.¹  van Schaik, Paul M.¹  Martens, Jasper M.²  Reijnen, Michel M. P. J.¹ 

[1] Department of Surgery;Department of Radiology;Multi-Modality Medical Imaging Group, TechMed Centre, University of Twente

关键词: Embolization;    Therapeutic;    Post-dissection aneurysm;    False lumen;    SMP plug;    IMPEDE-FX;    Embolization plug;    Infrarenal;   

DOI  :  10.1186/s42155-020-00183-6

学科分类：计算机科学（综合）

来源: Springer

【 摘 要 】

This case report demonstrates the value of IMPEDE-FX plugs in an embolization procedure of a false lumen of an infrarenal post-dissection aneurysm. A 69-year-old patient was treated with mitral valve replacement, complicated by a Stanford type-A dissection. After 9 years he presented with an enlarging infrarenal post-dissection aneurysm. The false lumen was embolized using multiple IMPEDE-FX plugs as part of the treatment in addition to embolization of the inferior mesenteric artery and overstenting of the re-entry in the right iliac artery. At 15 months the CTA showed a fully thrombosed false lumen and remodeling of the true lumen. The false lumen of an infrarenal post-dissection aneurysm can successfully be embolized using IMPEDE-FX embolization plugs as part of the treatment strategy. Prospective trials on patients with non-thrombosed false lumina are indicated.

【 授权许可】

CC BY