Endovascular Repair of Concomitant Vertebral Artery and Subclavian Artery Iatrogenic Perforations

Herrmann, Joseph W.; Franz, Randall W.; Shah, Kaushal J.

doi:10.1016/j.avsg.2014.11.015

Cited by 8 publications

(7 citation statements)

References 6 publications

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“…82 These injuries can be fatal by themselves-clot propagation can lead to a complete infarction of the brain stem. 84 Reported injuries include AV fistulas, [85][86][87] dissections, 88 transections, 89,90 and pseudoaneurysms. 89 These can present at the time of injury or in a delayed fashion.…”

Section: Vertebralmentioning

confidence: 99%

“…89 These can present at the time of injury or in a delayed fashion. 85,91 Stents, including the Advanta, 92 Corvita (Corvita Corporation), 88 Viabahn/ Hemobahn (W. L. Gore & Associates), 90 Jostent (Abbott), 86 Wallstent (Boston Scientific), 89 Ultralink stent (Abbott), 93 and WALLGRAFT (Boston Scientific) 85 have been used to preserve patency in some studies. Coil embolization can also be used to treat vertebral injuries, 82,89,91 as can treatment with a detachable balloon.…”

Section: Vertebralmentioning

confidence: 99%

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Endovascular Therapy of Vascular Trauma—Current Options and Review of the Literature

Glaser

Kalapatapu

2019

Vasc Endovascular Surg

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Objective: To review the current use of endovascular techniques in trauma. Summary Background Data: Multiple studies have demonstrated that, despite current guidelines, endovascular therapies are used in instances of arterial trauma. Methods: The existing literature concerning arterial trauma was reviewed. Studies reviewed included case reports, single-center case series, large database studies, official industry publications and instructions for use, and society guidelines. Results: Endovascular therapies are used in arterial trauma in all systems. The use of thoracic endografts in blunt thoracic aortic trauma is accepted and endorsed by society guidelines. The use of endovascular therapies in other anatomic locations is largely limited to single-center studies. Advantages potentially include less morbidity due to smaller incisions as well as shorter operating room times. Many report using endovascular therapies even with hard signs of injury. Long-term results are limited by a lack of long-term follow-up but, in general, suggest that these techniques produce acceptable outcomes. The adoption of these techniques may be limited by resource and surgeon availability. Conclusions: The use of endovascular therapies in trauma has gained acceptance despite not yet having a place in official guidelines.

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Section: Vertebralmentioning

confidence: 99%

Section: Vertebralmentioning

confidence: 99%

Endovascular Therapy of Vascular Trauma—Current Options and Review of the Literature

Glaser

Kalapatapu

2019

Vasc Endovascular Surg

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“…However, literature on surgical techniques used to safely and effectively remove a misplaced CVC with endovascular treatment is scarce. Herrmann et al reported that they first pulled back the CVC partially, and then deployed the self-expanding Viabahn stent graft for the iatrogenic injured vertebral artery while simultaneously withdrawing the misplaced CVC [5]. Among the surgical procedures described in the present report, it is necessary to emphasize the following important points: 1) to pull back the CVC partially between stent graft deployment and CVC removal, and 2) to withdraw the misplaced CVC simultaneously with post deployment balloon dilatation.…”

Section: Discussionmentioning

confidence: 81%

“…Inadvertent puncture of the SCA is a rare complication that occurs in 0.5% -4.0% of all patients who undergo CVC insertion [5]. No well-defined guidelines exist for the treatment of inadvertent puncture of the SCA resulting from a misplaced CVC.…”

Section: Discussionmentioning

confidence: 99%

Viabahn Stent Graft for Inadvertent Insertion of a Central Venous Catheter in the Subclavian Artery

Cao¹,

Koide²,

Watanabe³

2022

WJCD

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Subclavian artery (SCA) injuries associated with central venous catheter (CVC) insertion are uncommon yet lethal complications that typically require surgical treatment. This case report presents the case of a 94-year-old man with an iatrogenic right SCA injury resulting from a misplaced CVC. Computed tomography revealed the catheter piercing the right internal jugular vein to enter the right SCA and then reaching the aortic arch. Emergent endovascular treatment was performed, and a 13-mm × 50-mm self-expanding Viabahn stent graft (W.L. Gore & Associates, Flagstaff, AZ, USA) was placed via the right brachial artery. The misplaced catheter was successfully removed under simultaneous postdeployment balloon dilatation. This case highlights the utility of the Viabahn stent graft for iatrogenic right SCA injury caused by a misplaced CVC and presents some insights and tips for a safer procedure.

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“…Results of the literature search and the inclusion and exclusion process are summarised in Figure 1. Seventy-eight full texts were retrieved of which 24 were of relevance (4–5–6, 8–9–10–11–12–13–14–15–16–17–18–19–20–21–22–23–24–25–26–27–28).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of management of inadvertent arterial injury during central venous catheterisation

et al. 2016

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Removal and compression of the arterial site is a poor management method and is associated with a high rate of complications. Endovascular approaches had a high rate of success with advantages of endovascular techniques including access to arteries which are difficult to expose surgically and avoidance of general anaesthesia. Endovascular repair might be considered depending on site of injury or local expertise though surgical repair reported the best results in this review with no complications seen.

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Endovascular Repair of Concomitant Vertebral Artery and Subclavian Artery Iatrogenic Perforations

Cited by 8 publications

References 6 publications

Endovascular Therapy of Vascular Trauma—Current Options and Review of the Literature

Endovascular Therapy of Vascular Trauma—Current Options and Review of the Literature

Viabahn Stent Graft for Inadvertent Insertion of a Central Venous Catheter in the Subclavian Artery

A systematic review of management of inadvertent arterial injury during central venous catheterisation

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