Transluminal coil embolization of an inferior gluteal artery aneurysm by ultrasound-guided direct puncture of the target vessel.
Pseudoaneurysms of the inferior gluteal artery are rare. We describe a case of an inferior gluteal pseudoaneurysm that presented as a painful mass in the buttock. A percutaneous thrombin injection under ultrasound guidance failed to occlude the sac, probably due to the wide neck of the aneurysm. Subsequently, transluminal coil embolization by ultrasound-guided direct puncture of the inferior gluteal artery achieved complete thrombosis of the sac. Ultrasound-guided coil embolization is recommended in the treatment of peripheral aneurysms where catheter placement using conventional interventional procedures is difficult.
Kuzuya
A
A
Department of Surgery, Chukyo Hospital, Nagoya, Japan. akihiko_kuzuya@chukyo-hosp.jp
Fujimoto
K
K
Iyomasa
S
S
Matsuda
M
M
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000628:therapy*; D017130:Angioplasty / Q000379:methods*; D002081:Buttocks / Q000098:blood supply* / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D011859:Radiography; D025321:Surgery, Computer-Assisted; D014463:Ultrasonography