Isolated brachial artery aneurysm successfully treated with a covered stent in a patient with Behçet's disease

Yiğit, Görkem

doi:10.5606/tgkdc.dergisi.2019.17852

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…17 Endovascular treatment has exceptionally been used. Yigit et al 30 reported a 31-year-old female with Behçet disease with a 26 x 16 mm brachial artery aneurysm, that was treated using two covered stents. There are no randomized control trials available in the literature regarding the best treatment for this condition, due to the exceptionality of the disease; however, the most broadly accepted therapeutic intervention based on retrospective data and expert opinion includes operative resection of the aneurysm with interposition vein grafting.…”

Section: Discussionmentioning

confidence: 99%

True Idiopathic Brachial Artery Aneurysm Treated With a Saphenous Vein Graft

González-Urquijo

Marine

Vargas

et al. 2022

Vasc Endovascular Surg

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Purpose: The objective of this study is to report a case of a 65-year-old woman who presented with pallor and pain of her left arm secondary to a true arterial brachial aneurysm, which was successfully treated with saphenous vein bypass and embolization of the aneurysm sac. A review of the literature is also presented. Case report: A 65-year-old woman presented with an acute onset of pallor and pain of her left forearm, and hand. On physical examination, there was a pulsatile mass at the forearm. A doppler ultrasound showed a fusiform aneurysmal dilatation of the brachial artery of 23 mm of diameter. A dynamic contrast-enhanced MRI angiogram confirmed a fusiform dilation of the distal brachial artery. The patient was scheduled for open repair. A fusiform 20 x 60 mm aneurysm of the distal brachial artery extending to the cubital fossa was found and a brachial artery to radial and ulnar arteries bypass with interposed reverse right saphenous vein was created. Embolization of the aneurysm sac was performed using Gelita-spon ® (Gelita Medical, Eberbach, Germany). A final angiogram showed an adequate perfusion through the bypass to the hand, and no contrast in the aneurysmal sac. Postoperative course was uneventful with discharge on the fourth postoperative day. Conclusion: Revascularization with autologous saphenous vein graft and exclusion of the aneurysm with local embolization is a good treatment alternative in a patient with symptomatic brachial aneurysm with distal embolization.

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Section: Discussionmentioning

confidence: 99%

True Idiopathic Brachial Artery Aneurysm Treated With a Saphenous Vein Graft

González-Urquijo

Marine

Vargas

et al. 2022

Vasc Endovascular Surg

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“…However, with the development of endovascular techniques, there have been multiple reports of treatment using covered stents either in the subclavian 6 and axillary 18,19 arteries or even in the easily surgical accessible brachial artery. 20 The use of embolization techniques has also been reported in some situations. 21,22 Because it is a rare disease, management and long-term treatment results are not entirely established.…”

Section: Introductionmentioning

confidence: 99%

Hybrid Approach of a Complex Aneurysm of the Subclavian-Axillary-Brachial Axis: A Case Report

Mendes

Vaz

Machado

et al. 2022

Vasc Endovascular Surg

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Background Upper extremity arterial aneurysms are a rare, potentially limb-threatening disorder. Due to its rarity, the best treatment modality and outcomes are not entirely established; however, there is a consensus that open surgery is the first-line treatment. We present a complex case of an arterial aneurysm of the subclavian-axillary-brachial axis adequately treated using a hybrid surgical and endovascular treatment. Case Presentation A 59-year-old man presented to the emergency department with acute ischemia of the right upper limb. An extensive thrombosed aneurysm of the subclavian-axillary-brachial axis was identified. The treatment was carried out in two stages. In the first phase, urgent limb revascularization was performed using the great saphenous vein to perform a subclavian-brachial artery bypass. Later, the aneurysm was excluded using a vascular plug and multiple coils. Successful treatment was achieved with no morbidity for the patient. Conclusions Although the gold standard for treating upper limb aneurysms is open surgery, endovascular techniques can be a significant adjunct, reducing treatment morbidity and even mortality.

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