%0 Case Reports
%T Percutaneous gluteal artery access to embolize false lumen of type B aortic dissection in marfan patient.
%A Dajci A
%A Mohseni A
%A Di Girolamo A
%A Nardis PG
%A di Marzo L
%A Mansour W
%J J Vasc Surg Cases Innov Tech
%V 10
%N 5
%D 2024 Oct
%M 39069989
暂无%R 10.1016/j.jvscit.2024.101553
%X This case study presents an innovative endovascular approach using percutaneous gluteal artery access for embolizing the false lumen of a type B aortic dissection in a patient with Marfan syndrome. Following multiple complex surgeries, the patient developed an enlarging thoraco-abdominal aneurysm, necessitating an urgent intervention branched endoprosthesis despite persisting false lumen perfusion. Doppler ultrasound-guided percutaneous gluteal access was utilized for spiral-coil embolization of the false lumen. Successful embolization and exclusion of the aneurism, confirmed by follow-up angiography and computed tomography scans, demonstrated the technique's efficacy and safety. This approach underscores the need for innovative solutions addressing complex vascular pathologies in patients with Marfan.