title: Stent-assisted embolization as "bailout" option in aortic aneurysm.
abstract: The authors report two cases of stent-assisted embolization (SAE) in the aorta. In one case, SAE was performed for treatment of a pseudoaneurysm; the procedure consisted of stent placement and embolization with an AMPLATZER Vascular Plug and detachable coils through the stent struts. In the second case, SAE was performed to stop acute bleeding from an aortoureteral fistula. Before SAE in this case, the aortic bifurcation was reconstructed with self-expandable and balloon-expandable stents. SAE was technically successful in both cases. SAE for aortic pathologic processes may be useful in selected cases as an alternative to surgery or endovascular stent-graft therapy.
authors.affiliation: Department of Interventional and Diagnostic Radiology, University of Tübingen, Hoppe-Seyler-Str. 3, 72076 Tübingen, Germany. klaus.brechtel@med.uni-tuebingen.de
authors.forename: Klaus
authors.initials: K
authors.lastname: Brechtel
authors.forename: Dorothee
authors.initials: D
authors.lastname: Bail
authors.forename: Christian
authors.initials: C
authors.lastname: Schwentner
authors.forename: Stephan
authors.initials: S
authors.lastname: Heller
authors.forename: Joerg
authors.initials: J
authors.lastname: Schmehl
authors.forename: Nora
authors.initials: N
authors.lastname: Goebel
authors.forename: Albertus M
authors.initials: AM
authors.lastname: Scheule
authors.forename: Claus D
authors.initials: CD
authors.lastname: Claussen
authors.forename: Guenay
authors.initials: G
authors.lastname: Kalender
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D001027:Aortography / Q000379:methods; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014515:Ureteral Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D014548:Urinary Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D016157:Vascular Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*