Percutaneous Occlusion of a Post-Surgical Saphenous Vein Graft Pseudoaneurysm Utilizing Neurological Microcoils and Embolic Agents

利用神经微弹簧圈和栓塞剂经皮栓塞术后大隐静脉移植假性动脉瘤

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Abstract

BACKGROUND: Postsurgical pseudoaneurysms at the anastomosis of saphenous vein grafts are uncommon and may result in catastrophic complications owing to their fragility and the risk of rupture, which can lead to significant hemorrhage. CASE SUMMARY: We present a case of a 77-year-old man referred for cardiac catheterization 2 days after bypass surgery, who was diagnosed with an anastomotic pseudoaneurysm. He received percutaneous implantation of microcoils and an embolic vascular agent, leading to a satisfactory recovery. DISCUSSION: Postoperative complications after cardiac surgery are prevalent and influence mortality rates, duration of hospitalization, and consequently health care expenditures. Transcatheter procedures employing microcoils and embolic agents can effectively and relatively easily address these complications.

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