Successful transcatheter embolization of penetrating aortic ulcer using interlocking detachable coils.
A 54-year-old man with persistent chest pain was hospitalized for hypertension and DeBakey type IIIb aortic dissection. The false lumen of the dissection was almost completely thrombosed; however, a penetrating atherosclerotic ulcer (PAU) was observed 5 weeks later. At that time, we successfully embolized the PAU with a microcatheter and interlocking detachable coils (IDCs). The patient is well with no episodes of relapse in 20 months of follow-up. This case suggests the utility of the microcatheter and IDC system as an alternative to surgery.
Hama
Y
Y
Department of Radiology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-0042, Japan.
Kaji
T
T
Iwasaki
Y
Y
Hinokiyama
K
K
Shimizu
M
M
Kusano
S
S
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001161:Arteriosclerosis / Q000150:complications; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed