Endovascular covered stent repair of an iatrogenic subclavian artery-to-pulmonary artery fistula and pseudoaneurysm.
An iatrogenic fistula and consequent pseudoaneurysm developed between the right subclavian artery and right pulmonary artery as a result of misplacement of a hemodialysis access catheter. The patient, who was considered to be at high risk for surgical repair, successfully underwent endovascular treatment that involved insertion of two nitinol stents covered with expanded polytetrafluoroethylene (stent-grafts), one into the right subclavian artery and the other into a right upper lobe pulmonary artery. Multi-detector row computed tomographic angiography played an integral role in the evaluation of the patient's vascular injury and treatment planning.
Wheeler
Shane C
SC
Department of Interventional Radiology, Bridgeport Hospital/Yale New Haven Health, 267 Grant St, Bridgeport, CT 06610, USA. swheewhee@yahoo.com
Zinn
Kenneth M
KM
Hughes
Terence W
TW
D000368:Aged; D000497:Alloys; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001159:Arterio-Arterial Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002404:Catheterization / Q000009:adverse effects; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D015641:Radiography, Interventional; D006435:Renal Dialysis / Q000379:methods; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000497:Alloys; C013616:nitinol; D011138:Polytetrafluoroethylene