title: Pneumatic compression for embolic protection during upper extremity endovascular intervention.
abstract: Embolic protection devices are occasionally employed during endovascular interventions to prevent complications caused by embolic debris. However, these devices have imperfect efficacy, confer risk of endovascular trauma, and are expensive. We report a patient with giant cell arteritis and symptomatic axillary artery stenosis, with a perceived elevated risk of distal embolization during endovascular intervention. We describe a straightforward embolic protection technique of brachial pressure cuff inflation during endovascular intervention and aspiration of displaced thrombotic material from the static column of blood. This novel, effective, and cost-free technique could also be employed in other vascular beds during endovascular intervention.
authors.affiliation: 1Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Cassar
authors.forename: Gregory W
authors.initials: GW
authors.lastname: Barsness
authors.forename: Waldemar E
authors.initials: WE
authors.lastname: Wysokinski
authors.forename: Shaun M
authors.initials: SM
authors.lastname: Gifford
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Bower
authors.forename: William D
authors.initials: WD
authors.lastname: Edwards
authors.forename: Rajiv
authors.initials: R
authors.lastname: Gulati
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects* / Q000295:instrumentation; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001366:Axillary Artery / Q000000981:diagnostic imaging; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D001916:Brachial Artery / Q000503:physiopathology*; D003251:Constriction, Pathologic; D004617:Embolism / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D058729:Peripheral Arterial Disease / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D012039:Regional Blood Flow; D015607:Stents; D014057:Tomography, X-Ray Computed; D014111:Tourniquets; D016896:Treatment Outcome
keywords: axillary stenosis; embolic protection; giant cell arteritis; peripheral stent; subclavian stenosis