Abstract
Seven-year-old boy presented with pain in right lower limb and abdomen after a fall from a bullock cart. He was referred for management of pseudoaneurysm of the right common iliac artery. After CT angiogram, the vascular surgeon opined that child was not suitable for surgical patch or graft or endovascular stenting as there was no landing zone for the stent. Hence the child was treated with transcatheter closure with two Amplatzer duct occluder II (ADO II). On follow-up the symptoms and bruit disappeared. To the best of our knowledge this is the first case of pseudoaneurysm, treated with ADO II.
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References
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Acknowledgments
We acknowledge the contribution of Dr. Madhav Hegde and Dr. Manjunath R. for having provided the CT angio and the Doppler images, respectively. We also thank Mr Mohan Rao and Mr Govardhan for their technical support in the cathlab which enabled the accomplishment of the procedures.
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Video 1: Angiogram done in antero posterior view showing a large aneurysm of the common iliac artery with large volume of contrast flowing into the aneurysmal sac. (WMV 731 kb)
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Video 2: Fluoroscopy in antero posterior view showing the use of Tyshak II balloon to push the device into position into the aneurysmal sac and decreasing the protrusion of the device in the arterial lumen. (WMV 491 kb)
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Video 3: Lateral angiogram performed after deployment of the first ADO II showing a large defect posterior to the first device from which contrast is seen flowing into the sac. (WMV 425 kb)
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Video 5: Angiogram done in lateral view showing the final result with minimal flow into the aneurysmal sac. (WMV 238 kb)
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Vijayalakshmi, I.B., Agrawal, N., Narasimhan, C. et al. Percutaneous closure of pseudoaneurysm of common iliac artery with amplatzer duct occluder II. Cardiovasc Interv and Ther 29, 76–81 (2014). https://doi.org/10.1007/s12928-013-0195-7
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DOI: https://doi.org/10.1007/s12928-013-0195-7