Brachial artery perforation repaired with percutaneous transfemoral covered stent deployment in a patient on abciximab.
Radial diagnostic angiography and percutaneous coronary intervention have been shown to be safe and feasible with fewer major complications in comparison with the femoral approach. Despite their safety profile, occasional vascular complications do still occur. We present a case of a brachial artery perforation treated successfully by the deployment of a covered stent designed for coronary intervention. We believe we are the first to describe this technique, which may provide an alternative to vascular surgery in such a situation.
Kelly
Dominic
D
Department of Cardiology, Royal Bournemouth Hospital, Castle Lane East, Bournemouth, Dorset, BH7 7DW, United Kingdom. kelly.dominic@talk21.com
Levy
Terry
T
Talwar
Suneel
S
D000077284:Abciximab; D000368:Aged; D000792:Angiography; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D000911:Antibodies, Monoclonal / Q000627:therapeutic use*; D000925:Anticoagulants / Q000627:therapeutic use*; D001916:Brachial Artery / Q000293:injuries* / Q000601:surgery*; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D016893:Carotid Stenosis / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy; D006801:Humans; D007140:Immunoglobulin Fab Fragments / Q000627:therapeutic use*; D008297:Male; D015607:Stents
D000911:Antibodies, Monoclonal; D000925:Anticoagulants; D007140:Immunoglobulin Fab Fragments; D000077284:Abciximab