Embolization of the false lumen using IMPEDE-FX embolization plugs as part of treatment of an infrarenal post-dissection aneurysm: a case report

Anne Jet S. Jansen, Paul M. van Schaik, Jasper M. Martens, Michel M.P.J. Reijnen*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Background: This case report demonstrates the value of IMPEDE-FX plugs in an embolization procedure of a false lumen of an infrarenal post-dissection aneurysm. Case presentation: A 69-year-old patient was treated with mitral valve replacement, complicated by a Stanford type-A dissection. After 9 years he presented with an enlarging infrarenal post-dissection aneurysm. The false lumen was embolized using multiple IMPEDE-FX plugs as part of the treatment in addition to embolization of the inferior mesenteric artery and overstenting of the re-entry in the right iliac artery. At 15 months the CTA showed a fully thrombosed false lumen and remodeling of the true lumen. Conclusions: The false lumen of an infrarenal post-dissection aneurysm can successfully be embolized using IMPEDE-FX embolization plugs as part of the treatment strategy. Prospective trials on patients with non-thrombosed false lumina are indicated.

Original languageEnglish
Article number91
JournalCVIR Endovascular
Volume3
Issue number1
DOIs
Publication statusPublished - Dec 2020

Keywords

  • UT-Hybrid-D
  • Embolization plug
  • False lumen
  • IMPEDE-FX
  • Infrarenal
  • Post-dissection aneurysm
  • SMP plug
  • Therapeutic
  • Embolization

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