Abstract
BackgroundWe introduce the “kissing stent-grafts technique” for a patient who suffered from a pseudoaneurysm in bifurcation of innominate artery. This technique repaired an innominate artery bifurcation pseudoaneurysm; it successfully isolated the pseudoaneurysm and preserved both right subclavian and right common carotid artery.Case presentationA 60-year-old Asian (Chinese) woman complained of discovering a cervical pulsatile mass. A pseudoaneurysm at the location of innominate artery bifurcation is a rare and difficult situation that should be treated by vascular surgeons. To our knowledge, this is the first case to use the “kissing stent-grafts technique” in treating innominate bifurcation pseudoaneurysm. With this minimally invasive endovascular treatment, our patient avoided open surgery and recovered quickly.ConclusionsWhen treating vascular lesions with complicated anatomy, endovascular treatment always has the merit of being minimally invasive. “Kissing stent-grafts technique” can be useful in locations other than coronary and aortic bifurcation.
Highlights
We introduce the “kissing stent-grafts technique” for a patient who suffered from a pseudoaneurysm in bifurcation of innominate artery
Pseudoaneurysm at the location of innominate artery bifurcation is a rare and difficult situation that should be treated by vascular surgeons
The “kissing stent-grafts technique” comes from the kissing stents technique, which is a smart manipulation to treat a lesion in vessel bifurcation usually in coronary artery angioplasty and stenting
Summary
Pseudoaneurysm at the location of innominate artery bifurcation is a rare and difficult situation that should be treated by vascular surgeons. The “kissing stent-grafts technique” comes from the kissing stents technique, which is a smart manipulation to treat a lesion in vessel bifurcation usually in coronary artery angioplasty and stenting. With current devices, using kissing stent grafts in this location is creative in some ways It solved the problem of large different diameter of two arteries and blood leak into the pseudoaneurysm. Patient information A 60-year-old Asian (Chinese) woman complained of discovering a cervical pulsatile mass She complained of dysphagia and dyspnea symptoms. There was no tenderness of the mass The pulse of her right carotid artery and right branchial artery were normal. Follow-up and outcomes Two weeks later, CTA showed that the two stent grafts were in satisfactory position, both the right carotid artery and the right subclavian artery were patent (Fig. 3). She had no special complaints and she refused another CTA when we communicated with her by telephone
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