Percutaneous Gluteal Artery Access to Embolize False Lumen of Type B Aortic Dissection in Marfan Patient

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, con fi rmed by follow-up angiography and computed tomography scans, demonstrated the technique's ef fi cacy and safety. This approach underscores the need for innovative solutions addressing complex vascular pathologies in patients with Marfan. (J Vasc Surg Cases Innov Tech 2024;10:101553.)