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Case Reports
. 2018 Nov 27;12(1):352.
doi: 10.1186/s13256-018-1840-7.

Innominate artery bifurcation pseudoaneurysm repair by "kissing stent-grafts technique": a case report

Xin Li  1   2 , Chang Shu  3   4   5 , Quan Ming Li  1   2 , Kun Fang  1   2 , Ming Li  1   2 , Wenwu Cai  1   2
Affiliations
Case Reports

Innominate artery bifurcation pseudoaneurysm repair by "kissing stent-grafts technique": a case report

Xin Li et al. J Med Case Rep. .

Abstract

Background: We introduce the "kissing stent-grafts technique" for a patient who suffered from a pseudoaneurysm in bifurcation of innominate artery. This technique repaired an innominate artery bifurcation pseudoaneurysm; it successfully isolated the pseudoaneurysm and preserved both right subclavian and right common carotid artery.

Case presentation: A 60-year-old Asian (Chinese) woman complained of discovering a cervical pulsatile mass. A pseudoaneurysm at the location of innominate artery bifurcation is a rare and difficult situation that should be treated by vascular surgeons. To our knowledge, this is the first case to use the "kissing stent-grafts technique" in treating innominate bifurcation pseudoaneurysm. With this minimally invasive endovascular treatment, our patient avoided open surgery and recovered quickly.

Conclusions: When treating vascular lesions with complicated anatomy, endovascular treatment always has the merit of being minimally invasive. "Kissing stent-grafts technique" can be useful in locations other than coronary and aortic bifurcation.

Keywords: Innominate artery; Kissing stent grafts; Pseudoaneurysm.

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Conflict of interest statement

Ethics approval and consent to participate

This case report has been approved by the Ethics Committee of Secondary Xiangya hospital, Central South University.

Consent for publication

Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

Competing interests

The authors declare that they have no competing interests.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
a Computed tomography angiography shows that the rupture area is located on the bifurcation of the innominate artery. Star mark (*) shows the position of the pseudoaneurysm. b Transverse computed tomography slide shows the pseudoaneurysm (white star mark *); trachea is compressed slightly by the pseudoaneurysm
Fig. 2
Fig. 2
Digital subtraction angiography identifies that the rupture lesion is at the innominate bifurcation and initial of the right common carotid artery. * lesion, C right common carotid artery, I innominate artery, S right subclavian artery
Fig. 3
Fig. 3
a After deployment of two stent grafts, digital subtraction angiography shows that no contrast goes into the pseudoaneurysm anymore, and both carotid artery and subclavian artery are patent. b Two-week follow-up computed tomography angiography of the patient, white star (*) shows the two “kissing stent grafts” are in the right position and with no contrast leak. Furthermore, both carotid artery and subclavian artery are patent
See this image and copyright information in PMC

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References

    1. Paukovits TM, Nemes B, Hüttl K, Bérczi V. Percutaneous endovascular treatment of innominate artery lesions is a safe and effective procedure. Orv Hetil. 2011;152:1745–1750. doi: 10.1556/OH.2011.29221. - DOI - PubMed
    1. Watura R, Halpin SF, Ruttley MS. Percutaneous transluminal angioplasty of an innominate artery occlusion. Cardiovasc Intervent Radiol. 1995;18:396–398. doi: 10.1007/BF00338308. - DOI - PubMed
    1. Nagata S, Kazekawa K, Matsubara S, Sugata S. Percutaneous reconstruction of the innominate bifurcation using the retrograde 'kissing stents' technique. Neuroradiology. 2006;48:537–540. doi: 10.1007/s00234-006-0090-3. - DOI - PubMed
    1. Rahman S, Leesar T, Cilingiroglu M, Effat M, Arif I, Helmy T, Leesar MA. Impact of kissing balloon inflation on the main vessel stent volume, area, and symmetry after side-branch dilation in patients with coronary bifurcation lesions: a serial volumetric intravascular ultrasound study. JACC Cardiovasc Interv. 2013;6:923–931. doi: 10.1016/j.jcin.2013.04.019. - DOI - PubMed

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