Robotic-Assisted Coil Embolization of Ascending Aortic Pseudoaneurysm

Tony Lu; Shayan Owji; Ponraj Chinnadurai; Thomas M Loh; Adeline Schwein; Alan B Lumsden; Jean Bismuth

doi:10.1016/j.athoracsur.2016.03.085

Robotic-Assisted Coil Embolization of Ascending Aortic Pseudoaneurysm

Tony Lu, Shayan Owji, Ponraj Chinnadurai, Thomas M Loh, Adeline Schwein, Alan B Lumsden, Jean Bismuth

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

A 62-year-old man with coronary artery disease and ischemic cardiomyopathy after coronary artery bypass grafting and insertion of a HeartMate II (Thoratec, Pleasanton, CA) left ventricular assist device (LVAD) presented with spontaneous incisional bleeding and an ascending aortic pseudoaneurysm. Aortic angiography revealed an anomalous connection between the pseudoaneurysm and the LVAD conduit. We were able to partially embolize the tract with standard techniques, but the patient returned with repeated bleeding. Using the additional stability and control afforded by the Magellan Robotic System (Hansen Medical, Mountain View, CA), a remotely steerable catheter, we were able to cannulate and completely embolize the pseudoaneurysm and occlude the anomalous tract.

Original language	English (US)
Pages (from-to)	e451-e453
Journal	Annals of Thoracic Surgery
Volume	102
Issue number	5
DOIs	https://doi.org/10.1016/j.athoracsur.2016.03.085
State	Published - Nov 2016

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title = "Robotic-Assisted Coil Embolization of Ascending Aortic Pseudoaneurysm",

abstract = "A 62-year-old man with coronary artery disease and ischemic cardiomyopathy after coronary artery bypass grafting and insertion of a HeartMate II (Thoratec, Pleasanton, CA) left ventricular assist device (LVAD) presented with spontaneous incisional bleeding and an ascending aortic pseudoaneurysm. Aortic angiography revealed an anomalous connection between the pseudoaneurysm and the LVAD conduit. We were able to partially embolize the tract with standard techniques, but the patient returned with repeated bleeding. Using the additional stability and control afforded by the Magellan Robotic System (Hansen Medical, Mountain View, CA), a remotely steerable catheter, we were able to cannulate and completely embolize the pseudoaneurysm and occlude the anomalous tract.",

author = "Tony Lu and Shayan Owji and Ponraj Chinnadurai and Loh, {Thomas M} and Adeline Schwein and Lumsden, {Alan B} and Jean Bismuth",

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AU - Lu, Tony

AU - Owji, Shayan

AU - Chinnadurai, Ponraj

AU - Loh, Thomas M

AU - Schwein, Adeline

AU - Lumsden, Alan B

AU - Bismuth, Jean

PY - 2016/11

Y1 - 2016/11

N2 - A 62-year-old man with coronary artery disease and ischemic cardiomyopathy after coronary artery bypass grafting and insertion of a HeartMate II (Thoratec, Pleasanton, CA) left ventricular assist device (LVAD) presented with spontaneous incisional bleeding and an ascending aortic pseudoaneurysm. Aortic angiography revealed an anomalous connection between the pseudoaneurysm and the LVAD conduit. We were able to partially embolize the tract with standard techniques, but the patient returned with repeated bleeding. Using the additional stability and control afforded by the Magellan Robotic System (Hansen Medical, Mountain View, CA), a remotely steerable catheter, we were able to cannulate and completely embolize the pseudoaneurysm and occlude the anomalous tract.

AB - A 62-year-old man with coronary artery disease and ischemic cardiomyopathy after coronary artery bypass grafting and insertion of a HeartMate II (Thoratec, Pleasanton, CA) left ventricular assist device (LVAD) presented with spontaneous incisional bleeding and an ascending aortic pseudoaneurysm. Aortic angiography revealed an anomalous connection between the pseudoaneurysm and the LVAD conduit. We were able to partially embolize the tract with standard techniques, but the patient returned with repeated bleeding. Using the additional stability and control afforded by the Magellan Robotic System (Hansen Medical, Mountain View, CA), a remotely steerable catheter, we were able to cannulate and completely embolize the pseudoaneurysm and occlude the anomalous tract.

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DO - 10.1016/j.athoracsur.2016.03.085

M3 - Article

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VL - 102

SP - e451-e453

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

IS - 5

ER -

Robotic-Assisted Coil Embolization of Ascending Aortic Pseudoaneurysm

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