Recurrent Embolic Stroke due to a Saccular Aneurysm of Left Subclavian Artery: Endovascular Treatment

A 78-year-old male was admitted for recurrent ischemic stroke in the left posterior cerebral artery territory. Computed tomography angiography (CTA) of supra-aortic trunks revealed a 28  × 25 mm saccular left subclavian artery aneurysm (LSAA) including the vertebral artery ostium. The LSA was catheterized via femoral access and a self-expanding covered stent (9 × 40 mm Fluency®, Bard) deployed. Subsequently LSAA embolisation was performed using microcoils (Hilal®, Cook) v ia a microcatheter (Progreat®, Terumo) pre-positioned in the aneurysm sac via brachial access.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Coup D'Oeil Source Type: research