title: Covered Stent and Coils Embolization of a Pulmonary Artery Pseudoaneurysm After Gunshot Wound.
abstract: We report the first case of endovascular covered stent implantation for the treatment of a large pulmonary artery pseudoaneurysm (PAPA) following a right thoracic gunshot wound. After resuscitation and hemodynamic stabilization, a CT angiography was performed to analyze the neck size of the PAPA and its position relative to the branches of the parent artery. Covered stent implantation with additional coil embolization was successfully performed. At the 4-year follow-up, the stents remained patent and there was neither pseudoaneurysm recurrence nor treatment-related complication.
authors.affiliation: Department of Radiology and Medical Imaging, Hôpital Universitaire de Grenoble and Université Grenoble Alpes, Cs 10217, 38043, Grenoble Cedex 9, France. nhuet@chu-grenoble.fr.
authors.forename: Nicolas
authors.identifier: http://orcid.org/0000-0002-9554-0864
authors.initials: N
authors.lastname: Huet
authors.affiliation: Department of Radiology and Medical Imaging, Hôpital Universitaire de Grenoble and Université Grenoble Alpes, Cs 10217, 38043, Grenoble Cedex 9, France.
authors.forename: Mathieu
authors.initials: M
authors.lastname: Rodiere
authors.affiliation: Intensive Care Unit, Centre Hospitalier Métropôle Savoie, site de Chambéry, BP 31125, 73011, Chambéry Cedex, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Badet
authors.affiliation: Department of Radiology, Centre Hospitalier Métropôle Savoie, Site de Chambéry, BP 31125, 73011, Chambéry Cedex, France.
authors.forename: Marie
authors.initials: M
authors.lastname: Michoud
authors.affiliation: Department of Thoracic and Vascular Surgery, Hôpital Universitaire de Grenoble and Université Grenoble Alpes, Cs 10217, 38043, Grenoble Cedex 9, France.
authors.forename: Pierre-Yves
authors.initials: PY
authors.lastname: Brichon
authors.affiliation: Department of Radiology and Medical Imaging, Hôpital Universitaire de Grenoble and Université Grenoble Alpes, Cs 10217, 38043, Grenoble Cedex 9, France.
authors.forename: Gilbert
authors.initials: G
authors.lastname: Ferretti
authors.affiliation: Department of Radiology and Medical Imaging, Hôpital Universitaire de Grenoble and Université Grenoble Alpes, Cs 10217, 38043, Grenoble Cedex 9, France.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Thony
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D011651:Pulmonary Artery; D015607:Stents; D014948:Wounds, Gunshot / Q000150:complications*
keywords: Chest injury; Covered stent; Endovascular repair; Pseudoaneurysm; Pulmonary artery; Trauma