Endovascular treatment of a pseudoaneurysm after an iatrogenic axillary artery injury.
The efficacy of covered stents for treatment of upper extremity pseudoaneurysms (PSA) has not been well documented. We report a case of an 82-year-old woman who presented with a hematoma in the left infraclavicular region as a result of previous permanent pacemaker placement. Subsequent ultrasound and chest computed tomography confirmed an axillary artery PSA. An endovascular approach enabled successful coil embolization and Viabahn stent (W. L. Gore & Associates, Flagstaff, AZ) placement, which excluded the axillary artery PSA. To our knowledge, there is only one other case of this nature reported in the literature.
Weger
Natalie
N
Division of Vascular Surgery, Department of Surgery, Newark Beth Israel Medical Center, Newark, NJ 07112, USA. natalieweger@yahoo.com
Klaassen
Zachary
Z
Sturt
Cindy
C
Hertz
Steven
S
D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D001366:Axillary Artery / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D004621:Embolization, Therapeutic; D005260:Female; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007049:Iatrogenic Disease; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D015607:Stents; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome