Compact coil packing using a steerable microcatheter for a giant wide-necked pulmonary artery pseudoaneurysm

Abstract

A 74-year-old man developed a giant wide-necked pulmonary artery pseudoaneurysm. To prevent life-threatening haemoptysis, we performed percutaneous transcatheter coil embolization for the pulmonary artery pseudoaneurysm. To effectively isolate the pseudoaneurysm with the minimal number of coils, we used a steering microcatheter. With intentional folding using the bendable tip of the steerable microcatheter, we achieved compact coil packing for the target vessels, thus avoiding coil deviations and non-target embolization.