Endovascular repair of latrogenic subclavian artery perforations using the Hemobahn stent-graft.
OBJECTIVE
To report the use of a new self-expanding endograft for percutaneous treatment of iatrogenic subclavian artery perforations.


METHODS
The subclavian artery of 2 patients was inadvertently cannulated during percutaneous attempts to implant a permanent pacemaker in one and catheterize the subclavian vein in the other. Because both patients had serious comorbidities, endovascular repair of the subclavian perforations was performed using the Hemobahn endograft, a nitinol stent covered internally with expanded polytetrafluoroethylene. The endoprostheses were successfully deployed via an ipsilateral brachial artery access. No signs of endograft occlusion, migration, deformation, or fracture have been observed during follow-up at 12 and 10 months, respectively, in these patients.


CONCLUSIONS
The Hemobahn stent-graft appears well suited to repairing subclavian artery injuries. Longer follow-up will determine if the design of this endograft will resist compression in this vascular location.
Bartorelli
A L
AL
Centro Cardiologico, Fondazione "Monzino" IRCCS, Institute of Cardiology, University of Milan, Italy. albartorelli@cardiologicomonzino.it
Trabattoni
D
D
Agrifoglio
M
M
Galli
S
S
Grancini
L
L
Spirito
R
R
D000368:Aged; D000369:Aged, 80 and over; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications; D008297:Male; D015607:Stents; D013348:Subclavian Artery / Q000293:injuries* / Q000601:surgery*; D014652:Vascular Diseases / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000295:instrumentation*