Coil occlusion of a subclavian mycotic aneurysm.
We report the first successful application of nonferromagnetic embolization coils for endovascular exclusion of a mycotic right subclavian artery aneurysm. A 58-year-old woman presented with acute cervical pain and a pulsatile mass in the right supraclavicular fossa under antibiotic medication for subacute infectious endocarditis. Diagnostic work-up including duplex sonography, digital subtraction angiography, and magnetic resonance imaging demonstrated a saccular aneurysm of the extrathoracic right subclavian artery. As an alternative to open surgery or stent-graft repair, this pathology was electively treated by transcatheter coil embolization. No neurological deficit or ischemic symptoms were noted during 9 months clinical follow-up. Multislice computed tomography scan revealed complete occlusion of the mycotic aneurysm 6 months after the interventional procedure. Transcatheter closure with Inconel embolization coils is a cost-effective and safe therapeutic option in patients with mycotic aneurysm originating from the subclavian artery.
Kische
Stephan
S
Department of Medicine, University Hospital Rostock, Rostock School of Medicine, Rostock, Germany.
Ince
Hüseyin
H
Peuster
Matthias
M
D000785:Aneurysm, Infected / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004621:Embolization, Therapeutic / Q000295:instrumentation; D004698:Endocarditis, Subacute Bacterial / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000382:microbiology; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex
D000900:Anti-Bacterial Agents