Percutaneous Placement of a Balloon-expandable Intraluminal Graft for Life-threatening Subclavian Arterial Hemorrhage

Becker, Gary J.; Benenati, James F.; Zemel, Gerald; Sallee, D. Skip; Suárez, Carlos Antonio Escobar; Roeren, T; Katzen, Barry T.

doi:10.1016/s1051-0443(91)72286-0

Cited by 179 publications

(61 citation statements)

References 40 publications

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“…Gonzƒlez et al described a case of subclavian artery bilateral aneurysm in which they reimplanted the left vertebral artery before implanting the endoprosthesis, and on the right side, after a frustrated attempt, the vertebral artery was ligated with no signs of vertebrobasilar ischemia. 20 Our patient has her right vertebral artery ligated. A previous angiographic study can assess patency of the vertebral system, both right and left, in its origin and its junction to form the basilar artery.…”

Section: Discussionmentioning

confidence: 89%

“…This approach has already been successfully performed by other authors in isolated or even bilateral aneurysms of the subclavian artery. 20,21 Another treatment option is the insertion of an endoprosthesis in the subclavian artery, excluding the aneurysm from its proximal neck until the distal neck. This option brings execution difficulties, since in our case the proximal case was not long enough to anchor an endoprosthesis without occluding the right common carotid artery ostium.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Tratamento endovascular híbrido de aneurisma da artéria subclávia associado à síndrome de Marfan: relato de caso

Sacchi

Medeiros

Filho³

2008

J. vasc. bras.

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We report on a 46-year-old female patient with Marfan's syndrome and a right subclavian artery aneurysm following open repair of type A aortic dissection. The patient was treated with a hybrid approach, combining innominate to right common carotid stent grafting and carotid to right axillary artery bypass. The postoperative course was uneventful and a duplex ultrasound confirmed successful aneurysm exclusion.Keywords: Subclavian artery, Marfan's syndrome, endovascular procedures, stent graft. RESUMODescreve-se o caso de uma paciente feminina de 46 anos com s•ndrome de Marfan que foi diagnosticada com aneurisma da art‚ria subclƒvia direita ap"s cirurgia aberta para reparo de dissec… †o a"rtica tipo A. A paciente foi tratada por abordagem h•brida, que combinou o implante de uma endopr"tese recoberta da art‚ria inominada para a car"tida comum direita com uma ponte car"tida para a art‚ria axilar direita. O p"s-operat"rio transcorreu sem complica… ‡es, com a confirma… †o, por ultra-som, do sucesso da exclus †o do aneurisma.Palavras-chave: Art‚ria subclƒvia, s•ndrome de Marfan, procedimento endovascular, endopr"tese.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Tratamento endovascular híbrido de aneurisma da artéria subclávia associado à síndrome de Marfan: relato de caso

Sacchi

Medeiros

Filho³

2008

J. vasc. bras.

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“…Hepatic function tests monitored over the post-operative period have not changed. Resorting to a covered stent in the treatment of pseudoaneurysms is now quite common; some cases have been reported where the use of a covered stent made it possible to stop an acute haemorrhage by re-establishing the continuity of major vessels, like the subclavian artery and external iliac artery lesions [10, 11]. To our knowledge, only Bürger et al [12]reported a case of bleeding from the hepatic artery which was treated by positioning of covered stents.…”

Section: Discussionmentioning

confidence: 99%

Gastroduodenal Artery Stump Haemorrhage following Pylorus-Sparing Whipple Procedure: Treatment with Covered Stents

Mansueto¹,

D’Onofrio²,

Iacono

et al. 2002

Dig Surg

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Background/Aims: To report a case of bleeding after pancreatoduodenectomy in a patient with pancreatic leak and portal thrombosis who was successfully treated with an endovascular approach. Methods: A 58-year-old male, suffering from neoplasm of the distal bile duct, underwent a pylorus-preserving Whipple procedure. On the 18th day, following a sudden drop in pressure and low haematocrit values, the patient underwent surgery. The source of the bleeding was not found. Six days later, following the appearance of bleeding from the abdominal drainage and haematemesis with shock, the patient had an immediate angiography. Bleeding from the gastroduodenal artery stump was evident, the portography showed no portal flow. With respect to the shortness of the stump, safe embolisation with coils, while preserving the common hepatic artery patency, was difficult to obtain. Results: By transcatheter placement of covered stents into the hepatic artery and thereby occluding the origin of the gastroduodenal artery, the bleeding was stopped. After 2 months, CT angiography showed patency of both the common and proper hepatic arteries. Nine months after the procedure the patient is in good health. Conclusions: Percutaneous placement of covered stents can be the solution in cases where transcatheter embolisation is not recommendable because of portal vein thrombosis.

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“…Although different surgical approaches have been proposed for the emergency management of SA injuries, they are technically complex in an already debilitated patient and consequently entail considerable morbidity and mortality rates [4][5][6][7]. In recent years, stent-grafts have emerged as a valuable alternative to surgery in selected cases of SA injuries with encouraging results [8][9][10][11][13][14][15][16][17][18]. However, only a very limited number of these patients with SA penetrating injuries undergo urgent endovascular treatment in the acute setting [8,9,17].…”

Section: Introductionmentioning

confidence: 99%

Urgent endovascular stent-graft placement for traumatic penetrating subclavian artery injuries

Cohen¹,

Rajz²,

Gomori³

et al. 2008

Journal of the Neurological Sciences

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Percutaneous Placement of a Balloon-expandable Intraluminal Graft for Life-threatening Subclavian Arterial Hemorrhage

Cited by 179 publications

References 40 publications

Tratamento endovascular híbrido de aneurisma da artéria subclávia associado à síndrome de Marfan: relato de caso

Tratamento endovascular híbrido de aneurisma da artéria subclávia associado à síndrome de Marfan: relato de caso

Gastroduodenal Artery Stump Haemorrhage following Pylorus-Sparing Whipple Procedure: Treatment with Covered Stents

Urgent endovascular stent-graft placement for traumatic penetrating subclavian artery injuries

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