Glue embolus complicating the endovascular treatment of a patient with Loeys-Dietz syndrome.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20655686.
- Also identified by DOI 10.1016/j.jvs.2010.05.104.
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Abstract
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.
Medical subject headings
- Aneurysm, False
- Blood Vessel Prosthesis Implantation
- Embolism
- Embolization, Therapeutic
- Enbucrilate
- Endovascular Procedures
- Loeys-Dietz Syndrome
- Subclavian Artery
- Tissue Adhesives