BY ALBERTO SIRONI, MD
A 77-year-old man presented with a large aneurysm located in the ostium of the hypogastric artery, which was diagnosed during CT control imaging. The angiographic control imaging confirmed a saccular aneurysm that was hemodynamically unstable (Figure 1).
Using a 155-cm Bern-tip Direxion™ Microcatheter preloaded with a Fathom®-16 Guidewire, we were able to engage the hypogastric artery directly from the iliac artery and place the tip inside the aneurysm. The angiographic sac evaluation confirmed the saccular anatomy and showed a large vessel feeding the gluteus (Figure 2).
In order to preserve the hypogastric artery, we chose to embolize with Interlock™-18 Fibered Detachable Coils. The initial framing of the aneurysm was performed using two 22-mm X 60-cm coils. The empty space was packed with two 20-mm X 50-cm coils and three 10-mm X 30-cm coils (Figure 3).
The last angiographic control showed a complete occlusion of the aneurysm, leaving the patency of the gluteus feeding vessel (Figure 4).
The Interlock™-18 enabled us to use fewer coils, and the Dacron® fibers allowed us to perform a fast and effective occlusion.
Alberto Sironi, MD
Chief of Radiology Department
CdC San Carlo
Results from case studies are not necessarily predictive of results in other cases. Results in other cases may vary.
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