title: Percutaneous placement of a balloon-expandable intraluminal graft for life-threatening subclavian arterial hemorrhage.
abstract: 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.
authors.affiliation: Miami Vascular Institute, FL.
authors.forename: G J
authors.initials: GJ
authors.lastname: Becker
authors.forename: J F
authors.initials: JF
authors.lastname: Benenati
authors.forename: G
authors.initials: G
authors.lastname: Zemel
authors.forename: D S
authors.initials: DS
authors.lastname: Sallee
authors.forename: C A
authors.initials: CA
authors.lastname: Suarez
authors.forename: T K
authors.initials: TK
authors.lastname: Roeren
authors.forename: B T
authors.initials: BT
authors.lastname: Katzen
mesh_terms: 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
chemical_list: D012828:Silicones; D013193:Stainless Steel