Endovascular management of post‐traumatic innominate artery transection with pseudo‐aneurysm formation

Abstract

Although catheter-based endovascular techniques have been used with increasing frequency for the management of vascular trauma, reports about innominate artery repair were limited. Here we describe a case of blunt traumatic injury with innominate artery transection. Endovascular stent-graft deployment through femoral artery was performed successfully without any neurologic deficit.

Covered stents for exclusion of iatrogenic common carotid artery-internal jugular vein fistula and brachiocephalic artery pseudoaneurysm

“…Likewise, Axisa et al 11 used a balloon-expandable covered stent (customized polytetrafluoroethylene (PTFE) graft on Palmaz stent) for exclusion of a traumatic brachiocephalic pseudoaneurysm without evidence of recurrent aneurysm or in-stent stenosis at 18 months follow-up. In a patient with traumatic distal brachiocephalic artery transection and pseudoaneurysm, Huang et al used two self-expanding overlapping stent grafts (10×50 mm and 12×10 mm Wallgraft endoprosthesis, Boston Scientific) to cover the distance from the CCA to the orifice of the brachiocephalic artery with no neurological complication and patent stent grafts at 1 year follow-up 12. De Troia et al 13 used a covered stent (12×30 mm Wallgraft) to treat an innominate artery pseudoaneurysm following subclavian vein cannulation with a patent stent at 16 months follow-up.…”

Eight-year follow-up of endovascular repair of a brachiocephalic trunk aneurysm due to Takayasu's arteritis

“…Stent graft repair of both true 10,11 and false [15][16][17][18][19][20] IA aneurysms has been reported in the literature as a feasible and effective treatment. However, this approach has been 20 /2009 Iatrogenic pseudoaneurysm (postbiopsy) Stent graft NA mainly described in individual case reports, with limited follow-up periods, varying from a few months to no more than 2 years, 10 and only few of such reports described cases of true IA aneurysms, while most were cases of posttraumatic pseudoaneurysms (Table).…”

Injuries of the thoracic aorta and its branches

“…S obzirom na masivno krvarenje koje u ovakvim slučajevima nastaje, privremena hemostaza je od izuzetnog značaja. Ona se može izvesti na dva načina 13 . Prvi je maksimalno naduvavanje balona kojim je fiksirana kanila u traheji.…”

“…Operativno lečenje podrazumeva resekciju dela arterije anonime koji je angažovan fistulom i najčešće inficiran, i slepo zatvaranje proksimalnog i distalnog kraja 12,13 . Zbog retrogradnog pro- toka iz spoljašnje u unutrašnju desnu karotidnu arteriju, ovakvi bolesnici ne dobijaju cerebrovaskularni inzult, a bogata koleteralna cirkulacija ramenog pojasa, sprečava akutnu ishemiju ruke.…”