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Cardiovasc Intervent Radiol. 2016 May;39(5):778-781. doi: 10.1007/s00270-015-1257-2. Epub 2015 Dec 9.

Covered Stent and Coils Embolization of a Pulmonary Artery Pseudoaneurysm After Gunshot Wound.

Author information

1
Department of Radiology and Medical Imaging, Hôpital Universitaire de Grenoble and Université Grenoble Alpes, Cs 10217, 38043, Grenoble Cedex 9, France. nhuet@chu-grenoble.fr.
2
Department of Radiology and Medical Imaging, Hôpital Universitaire de Grenoble and Université Grenoble Alpes, Cs 10217, 38043, Grenoble Cedex 9, France.
3
Intensive Care Unit, Centre Hospitalier Métropôle Savoie, site de Chambéry, BP 31125, 73011, Chambéry Cedex, France.
4
Department of Radiology, Centre Hospitalier Métropôle Savoie, Site de Chambéry, BP 31125, 73011, Chambéry Cedex, France.
5
Department of Thoracic and Vascular Surgery, Hôpital Universitaire de Grenoble and Université Grenoble Alpes, Cs 10217, 38043, Grenoble Cedex 9, France.

Abstract

We report the first case of endovascular covered stent implantation for the treatment of a large pulmonary artery pseudoaneurysm (PAPA) following a right thoracic gunshot wound. After resuscitation and hemodynamic stabilization, a CT angiography was performed to analyze the neck size of the PAPA and its position relative to the branches of the parent artery. Covered stent implantation with additional coil embolization was successfully performed. At the 4-year follow-up, the stents remained patent and there was neither pseudoaneurysm recurrence nor treatment-related complication.

KEYWORDS:

Chest injury; Covered stent; Endovascular repair; Pseudoaneurysm; Pulmonary artery; Trauma

PMID:
26662074
DOI:
10.1007/s00270-015-1257-2
[Indexed for MEDLINE]

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