Subclavian artery disruption resulting from endovascular intervention: treatment options.
Endovascular intervention is a commonly accepted form of treatment in patients with subclavian artery stenosis. Complications will undoubtedly occur as the utility of catheter-based intervention continues to rise. We report two cases of subclavian artery disruption as a result of endovascular intervention. One patient had contrast extravasation after the deployment of a balloon-expandable stent in a stenotic subclavian artery, and the arterial injury was successfully treated with balloon tamponade. A second patient had a large subclavian pseudoaneurysm 4 months after a balloon-expandable stent placement. Successful repair was achieved in this patient by means of arterial reconstruction with a prosthetic bypass graft. These cases illustrate different therapeutic methods of treating subclavian artery rupture due to endovascular intervention.
Lin
P H
PH
Division of Vascular Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Bush
R L
RL
Weiss
V J
VJ
Dodson
T F
TF
Chaikof
E L
EL
Lumsden
A B
AB
D000368:Aged; D017541:Aneurysm, False / Q000628:therapy*; D000792:Angiography; D021721:Balloon Occlusion; D019917:Blood Vessel Prosthesis Implantation; D002404:Catheterization; D005260:Female; D006801:Humans; D008297:Male; D012421:Rupture; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging / Q000628:therapy*