Iatrogenic Subclavian Artery Perforation Rescued by Operator-Modified Graft Stent.
10.3349/ymj.2017.58.2.462
- Author:
Chih Hung LAI
1
;
Chung Lin TSAI
;
Wei Chun CHANG
;
Chieh Shou SU
;
Wen Lieng LEE
Author Information
1. Divisions of Interventional Cardiology and Adult Cardiac Surgery, Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan, R.O.C. wenliengleevghtc@gmail.com
- Publication Type:Case Report
- Keywords:
Subclavian artery stenosis;
subclavian artery perforation;
graft stent;
peripheral angioplasty, hemothorax
- MeSH:
Aged;
Aortic Aneurysm, Abdominal;
Arm;
Carotid Arteries;
Carotid Artery, Common;
Constriction, Pathologic;
Female;
Hemothorax;
Humans;
Situs Inversus;
Stents*;
Subclavian Artery*;
Subclavian Steal Syndrome;
Transplants*
- From:Yonsei Medical Journal
2017;58(2):462-466
- CountryRepublic of Korea
- Language:English
-
Abstract:
Subclavian artery (SCA) perforation is a rare complication while performing SCA intervention. In our present report, a 73-year-old female, with stenosis of the left SCA and situs inversus, presented with exercise-induced left arm weakness. The SCA stenosis was treated with direct stenting with a balloon-expansible Express LD 10×25 mm stent. However, it caused iatrogenic SCA perforation and hemothorax. The perforation was sealed by endovascular repair with operator-modified Endurant II graft stent, which complicated with occlusion of left common carotid artery. And, the carotid artery was rescued by another stent. The graft stent, which was originally designed for abdominal aortic aneurysm, can be modified to suitable length and take as a rescue stent of large vessel with iatrogenic perforation. Due to strong radial force of graft stent, preservation of large side branches should been watched out.
