Percutaneous placement of a balloon-expandable intraluminal graft for life-threatening subclavian arterial hemorrhage.
A balloon-expandable intraluminal graft was percutaneously deployed in the left subclavian artery of a 43-year-old woman. This graft was made of a stainless steel, 30-mm Palmaz balloon-expandable iliac stent completely covered with a thin coat of silicone. The procedure was successful in managing and preventing life-threatening hemorrhage as a large-bore catheter was removed from the subclavian artery via its subcutaneous tunnel. Surgical repair of the high brachial-axillary sheath insertion site was required after percutaneous deployment of the graft. However, the grafting procedure succeeded in obviating a thoracotomy. At follow-up of 6 months, despite diminution in brachial pulse volume recordings, the patient is asymptomatic at rest. She experiences mild fatigue with extremes of upper extremity exercise and declines angiographic follow-up and further intervention.
Becker
G J
GJ
Miami Vascular Institute, FL.
Benenati
J F
JF
Zemel
G
G
Sallee
D S
DS
Suarez
C A
CA
Roeren
T K
TK
Katzen
B T
BT
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D001807:Blood Vessel Prosthesis; D002404:Catheterization; D002406:Catheterization, Peripheral / Q000009:adverse effects; D004867:Equipment Design; D005260:Female; D006470:Hemorrhage / Q000517:prevention & control*; D006801:Humans; D007262:Infusions, Intravenous; D012828:Silicones; D013193:Stainless Steel; D015607:Stents; D013348:Subclavian Artery
D012828:Silicones; D013193:Stainless Steel