Stent-assisted coil embolization of a mycotic renal artery aneurysm by use of a self-expanding neurointerventional stent.
Mycotic aneurysms are uncommon, especially those located in visceral arteries. We present a case of a patient with two visceral mycotic aneurysms due to bacterial endocarditis, one located in right upper pole renal artery and the second in the splenic artery. Both aneurysms were treated as endovascular embolization using microcoils. In the aneurysm located at the renal artery, the technique of stent-assisted coils embolization was preferred to avoid coils migration due to its wide neck. The stent used was the Solitaire AB, which was designed for the treatment of intracranial aneurysms and was used recently in acute stroke as a mechanical thrombectomy device. Complete embolization of the aneurysm was achieved, preserving all the arterial branches without nephrogram defects in the final angiogram.
Rabellino
Martin
M
Department of Endovascular Therapy, Hospital Hospiten Rambla, General Franco 115, 38001 Santa Cruz de Tenerife, Spain. jmrabellino@hotmail.com
García-Nielsen
Luis
L
Zander
Tobias
T
Baldi
Sebastián
S
Llorens
Rafael
R
Maynar
Manuel
M
D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods*; D004697:Endocarditis, Bacterial / Q000150:complications; D004867:Equipment Design; D005260:Female; D006801:Humans; D008875:Middle Aged; D012077:Renal Artery / Q000000981:diagnostic imaging; D015607:Stents