Subclavian artery disruption resulting from endovascular intervention: Treatment options

Peter H. Lin; Ruth L. Bush; Victor J. Weiss; Thomas F. Dodson; Elliot L. Chaikof; Alan B. Lumsden

doi:10.1067/mva.2000.109334

Subclavian artery disruption resulting from endovascular intervention: Treatment options

Peter H. Lin, Ruth L. Bush, Victor J. Weiss, Thomas F. Dodson, Elliot L. Chaikof, Alan B. Lumsden

Research output: Contribution to journal › Article › peer-review

25 Scopus citations

Abstract

Endovascular intervention is a commonly accepted form of treatment in patients with subclavian artery stenosis. Complications will undoubtedly occur as the utility of catheter-based intervention continues to rise. We report two cases of subclavian artery disruption as a result of endovascular intervention. One patient had contrast extravasation after the deployment of a balloon-expandable stent in a stenotic subclavian artery, and the arterial injury was successfully treated with balloon tamponade. A second patient had a large subclavian pseudoaneurysm 4 months after a balloon-expandable stent placement. Successful repair was achieved in this patient by means of arterial reconstruction with a prosthetic bypass graft. These cases illustrate different therapeutic methods of treating subclavian artery rupture due to endovascular intervention.

Original language	English (US)
Pages (from-to)	607-611
Number of pages	5
Journal	Journal of Vascular Surgery
Volume	32
Issue number	3
DOIs	https://doi.org/10.1067/mva.2000.109334
State	Published - 2000

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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10.1067/mva.2000.109334

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AB - Endovascular intervention is a commonly accepted form of treatment in patients with subclavian artery stenosis. Complications will undoubtedly occur as the utility of catheter-based intervention continues to rise. We report two cases of subclavian artery disruption as a result of endovascular intervention. One patient had contrast extravasation after the deployment of a balloon-expandable stent in a stenotic subclavian artery, and the arterial injury was successfully treated with balloon tamponade. A second patient had a large subclavian pseudoaneurysm 4 months after a balloon-expandable stent placement. Successful repair was achieved in this patient by means of arterial reconstruction with a prosthetic bypass graft. These cases illustrate different therapeutic methods of treating subclavian artery rupture due to endovascular intervention.

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Subclavian artery disruption resulting from endovascular intervention: Treatment options

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