title: Endovascular treatment of iatrogenic axillary artery pseudoaneurysm under echographic control: a case report.
abstract: OBJECTIVE
  Brief case report of the treatment of a large axillary artery pseudoaneurysm after a pacemaker using a left brachial cutdown and a retrograde delivery of a covered stent using ultrasound and fluoroscopic guidance. The patient's renal function precluded the use of contrast materials.
  
  
  METHODS
  A 77 years old man presenting with acute renal failure and haemoglobin decrease arrived with an expanding pseudoaneurysm of the left axillary artery from a pacemaker placement. Considering the site of the lesion and patient's comorbidities, under echographic control, a Hemobahn® stent-graft was placed; fluoroscopy assisted manipulation of guidewires and sheaths into the aortic arch. The procedure was successfully ended without any complications. At 8 months the stent graft was still patent.
  
  
  CONCLUSIONS
  Ultrasound guidance may represent an alternative for pseudo-aneurysm exclusion without any use of contrast medium, especially in those patient where lesions are easily detectable using ultrasonography and when comorbidities contraindicate aggressive surgical or angiographic approach.
authors: University of Milan, Italy. danymazzak83@libero.it
authors: Daniela
authors: D
authors: Mazzaccaro
authors: Giovanni
authors: G
authors: Malacrida
authors: Maria T
authors: MT
authors: Occhiuto
authors: Silvia
authors: S
authors: Stegher
authors: Domenico G
authors: DG
authors: Tealdi
authors: Giovanni
authors: G
authors: Nano
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