Endovascular Therapy for Isolated Brachiocephalic Pseudoaneurysm

Abstract

In this study, we present a successful endovascular therapy using a small-diameter stent graft for a 73-year-old man who developed asymptomatic pseudoaneurysm of the brachiocephalic artery. An 8F sheath was placed in the brachial artery, and a stiff guidewire was advanced to the descending aorta. The stent graft was delivered to the brachiocephalic artery via the brachial approach. After the initial dilatation, the stent graft was post-dilated to maximum diameter. Final digital subtraction angiography confirmed no endoleak. We believed that endovascular for a brachiocephalic pseudoaneurysm using a small-diameter stent graft might be a minimally invasive and simple method useful in clinical practice.

Infected False Aneurysm of Brachiocephalic Trunk - Rare but Highly Lethal Cause of Dyspnea

“…There are no clear guidelines for the treatment of false aneurysm of the brachiocephalic trunk in the literature, and only experiences presented in previous case reports can be applied [ 6 ]. Treatment of such false aneurysms involved a major operation with a median sternotomy or thoracotomy in the past, causing a number of serious complications such as stroke and death.…”

“…Treatment of such false aneurysms involved a major operation with a median sternotomy or thoracotomy in the past, causing a number of serious complications such as stroke and death. However, several case reports describing endovascular management, especially for traumatic false aneurysms, can be found in the literature [ 6 - 8 ].…”