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Vol 28, No 2 (2022)
Review paper
Published online: 2022-08-16

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Endovascular treatment of false aneurysm of axillary artery in obese women with epilepsy. 5 years follow up.

Piotr Terlecki1, Karol Michał Terlecki1, Stanisław Przywara1, Jan Jakub Kęsik1, Tomasz Zubilewicz1
Acta Angiologica 2022;28(2):52-55.

Abstract

False aneurysms of arteries in upper extremities are relatively rare. They occur in 2 % of all false aneurysms, and axillary artery aneurysms are very uncommon. Open reconstructive surgery of axillary aneurysms bares the high risk of local and general complications. Progress in endovascular surgery and especially miniaturizationn of delivery systems for stents and stentgrafts enables their application in the treatment of small size, peripheral arteries. Our paper presents a case of extremely obese – 170 kg, 57 years old women, who presented with massive, false aneurysm of left axillary artery, being the consequence of epilepsy attack. She was successfully treated with endovascular deployment of covered stent Viabahn™ ø 6mm x 50mm (W.L. Gore), performed with randez-vous technique. After 5 years long follow up, the stentgraft is patent, in correct position, without radiological signs of migration or endoleaks.

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References

  1. Sullivan TM, Bacharach JM, Perl J, et al. Endovascular management of unusual aneurysms of the axillary and subclavian arteries. J Endovasc Surg. 1996; 3(4): 389–395, doi: 10.1583/1074-6218(1996)003<0389:EMOUAO>2.0.CO;2.
  2. Xenos E, Freeman M, Stevens S, et al. Covered stents for injuries of subclavian and axillary arteries. Journal of Vascular Surgery. 2003; 38(3): 451–454.
  3. du Toit DF, Strauss DC, Blaszczyk M, et al. Endovascular treatment of penetrating thoracic outlet arterial injuries. Eur J Vasc Endovasc Surg. 2000; 19(5): 489–495.
  4. Kumar RM, Reddy SS, Sharma R, et al. Endovascular repair of a traumatic axillary artery pseudoaneurysm. Cardiovasc Intervent Radiol. 2009; 32(3): 598–600.
  5. Curi MA, Geraghty PJ. Mild-term outcomes of endovascular popliteal artery aneurysm repair. J Vasc Surg. 2007; 45: 185–193.
  6. Antonello M, Frigatti P, Battocchio P, et al. Endovascular treatment of asymptomatic popliteal aneurysms: 8-year concurrent comparison with open repair. J Cardiovasc Surg (Torino). 2007; 48(3): 267–274.
  7. Epstein DA, Ibrahim MT, Franz RW. Endovascular Treatment of Massive Axillary Artery Aneurysm for Palliation. Vasc Endovascular Surg. 2017; 51(4): 188–190.
  8. Grillo VT, Jaldin RG, Rosa FD, et al. Endovascular treatment with aortic endoprostheses for subclavian artery aneurysm secondary to late traumatic axillary-axillary arteriovenous fistula. J Vasc Bras. 2021; 20: e20210016.
  9. Bennett JD. Evidence-based radiology problems Covered stent treatment o fan axillary artery pseudoaneurysm:June 2003-2004. Can Assoc Radiol J. 2003; 54: 140–143.
  10. Elford J, Burrell C, Roobottom C. Ultrasound guided percutaneous thrombin injection for the treatment of iatrogenic pseudoaneurysms. Heart. 1999; 82(4): 526–527.
  11. van der Horst RL, van den Hoven I, Daemen JW. Emergent Treatment of Ruptured Axillary Artery Aneurysm. Ann Vasc Surg. 2018; 47: 281.e11–281.e14.
  12. Branco BC, DuBose JJ, Branco BC, et al. Endovascular solutions for the management of penetrating trauma: an update on REBOA and axillo-subclavian injuries. Eur J Trauma Emerg Surg. 2016; 42(6): 687–694.
  13. Tham SL, Guo Y, Pang MCY, et al. Surgical Management of Axillary Artery Aneurysms with Endovascular Stenting versus Open Repair: A Report of Two Cases and Literature Review. Ann Vasc Surg. 2019; 58: 385.e11–385.e16.
  14. du Toit DF, Lambrechts AV, Stark H, et al. Long-term results of stent graft treatment of subclavian artery injuries: management of choice for stable patients? J Vasc Surg. 2008; 47(4): 739–743.
  15. Schoder M, Cejna M, Hölzenbein T, et al. Elective and emergent endovascular treatment of subclavian artery aneurysms and injuries. J Endovasc Ther. 2003; 10(1): 58–65.
  16. Schneider K, Kasparyan NG, Altchek DW, et al. An aneurysm involving the axillary artery and its branch vessels in a major league baseball pitcher. A case report and review of the literature. Am J Sports Med. 1999; 27(3): 370–375.