Endovascular treatment of false aneurysm of axillary artery in obese women with epilepsy. 5 years follow up.

Abstract

False aneurysms of arteries in upper extremities are relatively rare. They occur in 2 % of all false aneurysms, and axillary artery aneurysms are very uncommon. Open reconstructive surgery of axillary aneurysms bares the high risk of local and general complications. Progress in endovascular surgery and especially miniaturizationn of delivery systems for stents and stentgrafts enables their application in the treatment of small size, peripheral arteries. Our paper presents a case of extremely obese – 170 kg, 57 years old women, who presented with massive, false aneurysm of left axillary artery, being the consequence of epilepsy attack. She was successfully treated with endovascular deployment of covered stent Viabahn™ ø 6mm x 50mm (W.L. Gore), performed with randez-vous technique. After 5 years long follow up, the stentgraft is patent, in correct position, without radiological signs of migration or endoleaks.