Endovascular Repair of an Innominate Artery False Aneurysm following Blunt Trauma

Axisa, Benedict; Loftus, Ian; Fishwick, Guy; Spyt, Tom; Bell, P. R. F.

doi:10.1177/152660280000700313

Cited by 43 publications

(22 citation statements)

References 13 publications

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“…Compared to other treatments with vascular stents, larger diameter and high flow arteries, we expect good results with vascular stents in the IA and SA. Other cases of patients treated with self-expanding stents have been reported previously (4,(16)(17)(18)(19).…”

Section: Discussionmentioning

confidence: 92%

Treatment of innominate arterial stenosis with self‐expanding stent: Long‐term follow‐up

Pulido-Duque

Carreira

Qian

et al. 2005

Minimally Invasive Therapy & Allied Technologies

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We report our experience with the use of a self-expanding stent in the treatment of a severe innominate artery stenosis resulting in right upper limb ischemia. A 45-year-old woman was admitted for right upper limb ischemia, asymmetry of the carotid pulse and the lack of pulse in the right upper extremity. The patient had a history of chain smoking, hypertension, hypercholesterolemia, and acute myocardial infarction one year ago. She was diagnosed of the innominate artery stenosis by angiography one year ago at another hospital. At the time of admission her blood pressure was normal in the left arm and absent in the right upper limb. Arteriography showed a severe stenosis subocclusion of the innominate artery with an inverse flow of the ipsilateral vertebral artery. As the patient was not considered to be a surgical candidate due to instable angina, stent placement was indicated. After placement through an axillary approach an angiogram showed a patent right subclavian artery without residual stenosis. Angiographic follow-up showed a patent innominate arterial lumen two years after the procedure. The patient continued to be asymptomatic during six years follow-up. Blood pressure remained normal in both upper extremities, without any ischemic signs. Our experience indicates that placement of an endovascular stent is an effective therapeutic option in selected patients with symptomatic stenosis in the innominate artery when a surgical treatment is contraindicated.

show abstract

Section: Discussionmentioning

confidence: 92%

Treatment of innominate arterial stenosis with self‐expanding stent: Long‐term follow‐up

Pulido-Duque

Carreira

Qian

et al. 2005

Minimally Invasive Therapy & Allied Technologies

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show abstract

“…Endovascular repair of blunt thoracic arterial injuries has been reported in carefully selected haemodynamically stable patients, but the long-term results of this approach remain unknown. 1 …”

Section: Discussionmentioning

confidence: 97%

Blunt intrapericardial superior vena cava injury – A trap for the unwary

et al. 2010

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“…There are some 33 reported cases in the literature of endovascular stenting placements in blunt extracranial carotid injuries. [1][2][3][4][5][6][7][9][10][11][14][15][16][20][21][22][23][24] First reports suggest that the risks and associated morbidity is significantly reduced when compared to direct surgical repair, largely due to gaining remote access to the injury with the endoluminal approach. 25 Endovascular techniques to repair blunt carotid artery trauma are a very new treatment modality and may still be regarded as an evolving field.…”

Section: Discussionmentioning

confidence: 99%

Endoluminal stenting of a common carotid artery pseudoaneurysm due to blunt trauma

et al. 2005

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Endovascular Repair of an Innominate Artery False Aneurysm following Blunt Trauma

Abstract: This case illustrates the potential durability of endoluminal repair of innominate artery lesions and highlights the potential role of this minimally invasive alternative to surgery in these clinical situations.

Cited by 43 publications

References 13 publications

Treatment of innominate arterial stenosis with self‐expanding stent: Long‐term follow‐up

Treatment of innominate arterial stenosis with self‐expanding stent: Long‐term follow‐up

Blunt intrapericardial superior vena cava injury – A trap for the unwary

Endoluminal stenting of a common carotid artery pseudoaneurysm due to blunt trauma

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