Endovascular treatment of a brachiocephalic artery pseudoaneurysm secondary to biopsy at mediastinoscopy.
Isolated injury to the brachiocephalic artery is relatively rare. We report the case of a 53-year-old lymphoma patient who had had a biopsy at mediastinoscopy in the past and was found incidentally on routine staging computed tomography to have developed a large pseudoaneurysm of the brachiocephalic artery. We describe the successful percutaneous treatment of this iatrogenic injury using endovascular deployment of covered stent-grafts.
Ahmed
Irfan
I
Department of Interventional Radiology, Guy's & St. Thomas' Hospitals, NHS Foundation Trust, London, SE1 7EH, UK. ia43@yahoo.com
Katsanos
Konstantinos
K
Ahmad
Farhan
F
Dourado
Renato
R
Lyons
Oliver
O
Reidy
John
J
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D000792:Angiography; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008481:Mediastinoscopy / Q000009:adverse effects*; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed