title: Endovascular repair of concomitant vertebral artery and subclavian artery iatrogenic perforations.
abstract: Inadvertent arterial puncture is a well-established complication of central venous catheter insertion. The carotid artery is the most frequently injured artery involved with injury to the subclavian artery and vertebral artery being much less common. When these injuries do occur, they are often treated with open surgical repair or endovascular, with stent-graft placement or embolization. Repair of acute vertebral artery injury with endovascular stent-graft repair has not been well represented in the literature to date. The present report discusses the successful treatment of concomitant injuries to the left subclavian and left vertebral arteries from acute iatrogenic puncture with endovascular stent-graft placement.
authors.affiliation: OhioHealth Vascular Surgery, Grant Medical Center, Columbus, OH.
authors.forename: Joseph W
authors.initials: JW
authors.lastname: Herrmann
authors.affiliation: OhioHealth Vascular Surgery, Grant Medical Center, Columbus, OH. Electronic address: randall.franz@ohiohealth.com.
authors.forename: Randall W
authors.initials: RW
authors.lastname: Franz
authors.affiliation: OhioHealth Vascular Surgery, Grant Medical Center, Columbus, OH.
authors.forename: Kaushal J
authors.initials: KJ
authors.lastname: Shah
mesh_terms: D000328:Adult; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects*; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*