Percutaneous placement of a balloon-expandable intraluminal graft for life-threatening subclavian arterial hemorrhage

J Vasc Interv Radiol. 1991 May;2(2):225-9. doi: 10.1016/s1051-0443(91)72286-0.

Abstract

A balloon-expandable intraluminal graft was percutaneously deployed in the left subclavian artery of a 43-year-old woman. This graft was made of a stainless steel, 30-mm Palmaz balloon-expandable iliac stent completely covered with a thin coat of silicone. The procedure was successful in managing and preventing life-threatening hemorrhage as a large-bore catheter was removed from the subclavian artery via its subcutaneous tunnel. Surgical repair of the high brachial-axillary sheath insertion site was required after percutaneous deployment of the graft. However, the grafting procedure succeeded in obviating a thoracotomy. At follow-up of 6 months, despite diminution in brachial pulse volume recordings, the patient is asymptomatic at rest. She experiences mild fatigue with extremes of upper extremity exercise and declines angiographic follow-up and further intervention.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Blood Vessel Prosthesis*
  • Catheterization
  • Catheterization, Peripheral / adverse effects
  • Equipment Design
  • Female
  • Hemorrhage / prevention & control*
  • Humans
  • Infusions, Intravenous
  • Silicones
  • Stainless Steel
  • Stents*
  • Subclavian Artery*

Substances

  • Silicones
  • Stainless Steel