Stent-Assisted Coil Embolization of a Mycotic Renal Artery Aneurysm by Use of a Self-Expanding Neurointerventional Stent

Rabellino, Martín; García-Nielsen, Luis; Zander, Tobías; Baldi, S.; Llorens, R.; Maynar, Manuel

doi:10.1007/s00270-010-9971-2

Cited by 18 publications

(6 citation statements)

References 12 publications

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“…10 Moreover, several cases of celiac, hepatic, splenic, or renal mycotic aneurysm successfully treated by endovascular therapy have been reported. 11–13 A past report suggested that unruptured mycotic aneurysm could be adequately managed by first initiating long-term antibiotics, followed by endovascular therapy to minimize recurrent infection. 14 Our patients underwent long-term antibiotic therapy before TAE was performed because mycotic aneurysms were initially detected on CT around 4 weeks after diagnosis of infective endocarditis.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Therapy for Distal Superior Mesenteric Artery Mycotic Aneurysms due to Infective Endocarditis

et al. 2019

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Purpose: To report 3 patients with infective endocarditis who underwent transcatheter arterial embolization for mycotic aneurysm of the distal superior mesenteric artery (SMA). Case Report: Three men (60, 64, and 65 years old) were diagnosed with infective endocarditis. Antibiotics were initiated immediately after admission and continued for several weeks to months. Distal SMA mycotic aneurysm was identified on computed tomography in the vicinity of the ileocolic artery at 33, 26, and 30 days after admission. In case 1, the ileal artery was occluded distal to the aneurysm, with collateral flow to the ileum. In case 2, the mycotic aneurysm was located below the ileocolic artery, which was stenosed distal to the lesion. In case 3, the aneurysm was located on a branch of the ileal artery. Transarterial embolization using microcoils was successfully performed in all patients. No complications associated with embolotherapy or relapse of infection were observed in these 3 patients at 60, 30, and 15 months, respectively. Conclusion: Transcatheter arterial embolization for distal SMA mycotic aneurysm could provide an alternative to open surgery. Anatomical assessment of collateral flow and preprocedure long-term antibiotic therapy could play important roles in preventing bowel ischemia and minimizing the risk of infection relapse.

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Section: Discussionmentioning

confidence: 99%

Endovascular Therapy for Distal Superior Mesenteric Artery Mycotic Aneurysms due to Infective Endocarditis

et al. 2019

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“…SAE as a therapeutic choice for RAA has been previously reported. 17,18 Similar to intracranial aneurysms, SAE was also the preferred treatment for aneurysms with a wide base and located in branch artery. 14,19 However, as a result of the low morbidity of RAA, the treatment indication and effect of SAE on RAA remains largely unknown.…”

Section: Discussionmentioning

confidence: 99%

Management of wide-based renal artery aneurysms using noncovered stent-assisted coil embolization

Wei

Sun

et al. 2017

Journal of Vascular Surgery

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“…Low cross-sectional-shaped coils are applied to occlude cerebral arteriovenous malformations and arteriovenous fistulas, but can also be indicated in tortuous peripheral vasculature, as diagnostic catheters may not be navigated to the target vessels and microcatheters are the preferred delivering catheter. 38 , 39 …”

Section: Metal Occlusion Devicesmentioning

confidence: 99%

Endoluminal occlusion devices: technology update

Zander¹,

Medina²,

Montes³

et al. 2014

MDER

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Endoluminal occlusion has been performed since the early beginning of interventional radiology. Over recent decades, major technological advances have improved the techniques used and different devices have been developed for changing conditions. Most of these occlusion devices have been implemented in the vascular territory. Early embolization materials included glass particles, hot contrast, paraffin, fibrin, and tissue fragments such as muscle fibers and blood clots; today, occlusion materials include metallic devices, particles, and liquid materials, which can be indicated for proximal or distal occlusion, high-flow and low-flow situations, and in large-caliber and small-caliber vessels, based on need. Technological progress has led to a decreased size of delivery catheters, and an increase in safety due to release systems that permit the withdrawing and replacement of embolization material. Furthermore, bioactive embolization materials have been developed to increase the efficacy of embolization or the biological effect of medication. Finally, materials have been modified for changing indications. Intravascular stents were initially developed to keep an artery open; however, by adding a covering membrane, these stents can be used to occlude the wall of a vessel or other endoluminal structures. This article gives an overview of the devices most utilized for occlusion of endoluminal structures, as well as their major purpose in the endovascular territory.

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Stent-Assisted Coil Embolization of a Mycotic Renal Artery Aneurysm by Use of a Self-Expanding Neurointerventional Stent

Cited by 18 publications

References 12 publications

Endovascular Therapy for Distal Superior Mesenteric Artery Mycotic Aneurysms due to Infective Endocarditis

Endovascular Therapy for Distal Superior Mesenteric Artery Mycotic Aneurysms due to Infective Endocarditis

Management of wide-based renal artery aneurysms using noncovered stent-assisted coil embolization

Endoluminal occlusion devices: technology update

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