Glue embolus complicating the endovascular treatment of a patient with Loeys-Dietz syndrome.
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.
Marine
Leopoldo
L
Pontificia Universidad Catolica de Chile, Santiago, Chile.
Gupta
Rishi
R
Gornik
Heather L
HL
Kashyap
Vikram S
VS
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D021721:Balloon Occlusion; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D004617:Embolism / Q000209:etiology* / Q000601:surgery; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D004659:Enbucrilate / Q000008:administration & dosage / Q000009:adverse effects*; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D055947:Loeys-Dietz Syndrome / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D014014:Tissue Adhesives / Q000008:administration & dosage / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D014014:Tissue Adhesives; D004659:Enbucrilate