title: Vertebral artery occlusion with Amplatzer vascular plug 4 to prevent subsequent endoleak in stent-graft treatment of subclavian artery gunshot injury.
abstract: Endovascular treatment options have evolved in many ways and become an important alternative for open surgical repairs in various vascular territories. Herein, we present a case of an 18-year-old man with complex injury to the left subclavian artery and vein caused by a gunshot 4 months ago. After the gunshot, a high-flow fistula between the left subclavian artery and the vein occurred with pseudoaneurysm formation. This fistula led to a significant left subclavian steal phenomenon. A stent-graft was deployed along the injured left subclavian artery after embolization of the left vertebral artery by Amplatzer vascular plug 4 (AVP-4) in order to prevent subsequent endoleak due to the subclavian steal syndrome.
authors: Department of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
authors: Bora
authors: B
authors: Peynircioglu
authors: Nursel
authors: N
authors: Yurttutan
authors: Bozkurt
authors: B
authors: Gulek
authors: Barbaros
authors: B
authors: Cil
authors: Mustafa
authors: M
authors: Yilmaz
mesh_terms: D000293:Adolescent; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D057867:Endoleak / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008297:Male; D015607:Stents; D013348:Subclavian Artery / Q000293:injuries*; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D013350:Subclavian Vein / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery; D014948:Wounds, Gunshot / Q000150:complications*