Endovascular Covered Stent Repair of an Iatrogenic Subclavian Artery–to–Pulmonary Artery Fistula and Pseudoaneurysm

Wheeler, Shane C.; Zinn, Kenneth M.; Hughes, Terence

doi:10.1016/j.jvir.2007.02.029

Cited by 8 publications

(5 citation statements)

References 9 publications

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“…Consequently, the risk of complications is higher in this access site, especially because the subclavian artery, due to its anatomical location, cannot be effectively compressed and the catheters used have a significantly higher diameter [2]. Therefore, the injury to the subclavian artery by erroneous puncture may result in pseudoaneurysm, arteriovenous fistula or uncontrolled bleeding, especially that puncture attempts are often performed several times [3][4][5]. It seems that insertion into the jugular vein under ultrasound control is a more reliable and safer alternative to subclavian access, although damage at this level is more frequently reported.…”

Section: Discussionmentioning

confidence: 99%

Technique of endovascular repair of iatrogenic subclavian artery injury following subclavian vein catheterization

et al. 2021

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The iatrogenic subclavian artery injury is a rare but potentially serious complication of subclavian vein cannulation. The use of endovascular techniques is an alternative to surgical repair especially in patients with concomitant diseases in whom immediate, potentially large surgery would be associated with a high risk of perioperative complications. This article discusses technical aspects of endovascular repair of iatrogenic injury of subclavian artery with implantation of covered stents based on two cases. Author's experience and data from literature suggests that endovascular management including covered stent implantation is safe and effective treatment and should be considered as a method of choice especially among patients in poor general condition and/or major comorbidities.

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Section: Discussionmentioning

confidence: 99%

Technique of endovascular repair of iatrogenic subclavian artery injury following subclavian vein catheterization

et al. 2021

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“…[4][5][6] A covered stent has been found to be very successful in the management of subclavian artery injury secondary to central vein catheter. [9][10][11][12][13][14] Two forms of covered stents are available: (1) balloon expandable and (2) self-expanding covered stent. The advantage of balloon-expandable stents is that first, they have a very controlled deployment and second the option of flexible sizing.…”

Section: Discussionmentioning

confidence: 99%

Inadvertent Dialysis Catheter—An Interventional Bailout!

Singhal¹,

Kundaragi²,

Jaganathan³

et al. 2018

J Clin Interv Radiol ISVIR

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“…However, mortality rates during and after surgical treatment are not low, with reported postsurgical mortality rates ranging from 5% to 30% [2,23,24]. Stentgraft deployment for subclavian artery injury is feasible because of the low morbidity and mortality rates [10,12,15,16,[19][20][21]25,26]. Becker et al reported the first case, involving a 43-year-old man who underwent deployment of a balloon-expandable metallic stent for left subclavian injury [9], while du Toit et al [13] reported that stentgraft treatment for subclavian artery injury resulted in high clinical success rates and low complication rates.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Treatment of Brachiocephalic and Subclavian Arterial Disease

Baba

Hayashi²,

Yamamoto³

et al. 2013

OJRad

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Objectives: To review our experience of stentgraft deployment for vascular aneurysm or pseudoaneurysm of the brachiocephalic or subclavian artery. Methods: Participants comprised 7 patients (4 men, 3 women; mean age, 61 years; range, 47-76 years) who underwent endovascular repair of brachiocephalic or subclavian arterial vascular lesions between July 2001 and November 2008. Causes of vascular lesions were: traffic accident, n = 4; infection, n = 2; and post-irradiation state of esophageal cancer, n = 1. Safety, technical success, and clinical follow-up were evaluated. Results: Stentgraft deployment was successful in all cases. No complications related to stent fracture were encountered during follow-up (up to 2308 days). One male patient with esophageal cancer died of rebleeding from the tracheostomy hole 13 days after treatment with size mismatch between the stentgraft and brachiocephalic artery. Conclusion: Stentgraft deployment represents acceptable treatment for the injured brachiocephalic artery or proximal side of the subclavian artery.

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Endovascular Covered Stent Repair of an Iatrogenic Subclavian Artery–to–Pulmonary Artery Fistula and Pseudoaneurysm

Cited by 8 publications

References 9 publications

Technique of endovascular repair of iatrogenic subclavian artery injury following subclavian vein catheterization

Technique of endovascular repair of iatrogenic subclavian artery injury following subclavian vein catheterization

Inadvertent Dialysis Catheter—An Interventional Bailout!

Endovascular Treatment of Brachiocephalic and Subclavian Arterial Disease

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