Coil occlusion of a subclavian mycotic aneurysm

Catheter Cardiovasc Interv. 2010 Jun 1;75(7):1116-20. doi: 10.1002/ccd.22389.

Abstract

We report the first successful application of nonferromagnetic embolization coils for endovascular exclusion of a mycotic right subclavian artery aneurysm. A 58-year-old woman presented with acute cervical pain and a pulsatile mass in the right supraclavicular fossa under antibiotic medication for subacute infectious endocarditis. Diagnostic work-up including duplex sonography, digital subtraction angiography, and magnetic resonance imaging demonstrated a saccular aneurysm of the extrathoracic right subclavian artery. As an alternative to open surgery or stent-graft repair, this pathology was electively treated by transcatheter coil embolization. No neurological deficit or ischemic symptoms were noted during 9 months clinical follow-up. Multislice computed tomography scan revealed complete occlusion of the mycotic aneurysm 6 months after the interventional procedure. Transcatheter closure with Inconel embolization coils is a cost-effective and safe therapeutic option in patients with mycotic aneurysm originating from the subclavian artery.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, Infected / diagnosis
  • Aneurysm, Infected / microbiology
  • Aneurysm, Infected / therapy*
  • Angiography, Digital Subtraction
  • Anti-Bacterial Agents / therapeutic use
  • Embolization, Therapeutic* / instrumentation
  • Endocarditis, Subacute Bacterial / drug therapy
  • Endocarditis, Subacute Bacterial / microbiology*
  • Female
  • Humans
  • Magnetic Resonance Angiography
  • Middle Aged
  • Subclavian Artery* / diagnostic imaging
  • Subclavian Artery* / microbiology
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography, Doppler, Duplex

Substances

  • Anti-Bacterial Agents