A Case Report of Endovascular Repair by a Pull-through Technique for Iatrogenic Right Subclavian Artery Injury
- VernacularTitle:医原性右鎖骨下動脈損傷に対してpull-through法を用いて血管内治療を行った1例
- Author:
Hironori BABA
1
;
Ayaka IWASAKI
1
;
Eisaku NAKAMURA
1
Author Information
- Keywords: Iatrogenic subclavian artery injury; pull-through technique; endovascular repair
- From:Japanese Journal of Cardiovascular Surgery 2023;52(5):349-349
- CountryJapan
- Language:Japanese
- Abstract: A 52-year-old man presented himself to his family doctor for uremia associated with prerenal acute renal failure. A 12 Fr vascular access catheter was inserted via the right internal jugular vein for emergency dialysis. A contrast-enhanced computed tomography (CT) scan revealed that the catheter had penetrated the right internal jugular vein, perforated the right subclavian artery, and reached the ascending aorta. Under general anesthesia, we completed the procedure with a pull-through technique between the bilateral brachial arteries. A vascular occlusion balloon was inserted from the left brachial artery and a GORE VIABAHN stent graft was inserted from the right brachial artery. The postoperative course was good and he has been free from hemorrhagic episodes. He was transferred to the referring hospital on postoperative day 2.
