Endovascular treatment of iatrogenic axillary artery pseudoaneurysm under echographic control : a case report
Articolo
Data di Pubblicazione:
2011
Citazione:
Endovascular treatment of iatrogenic axillary artery pseudoaneurysm under echographic control : a case report / D. Mazzaccaro, G. Malacrida, M.T. Occhiuto, S. Stegher, D.G. Tealdi, G. Nano. - In: JOURNAL OF CARDIOTHORACIC SURGERY. - ISSN 1749-8090. - 6:1(2011), p. 78.78.
Abstract:
Aim: Brief case report of the treatment of a large axillary artery pseudoaneurysm after a pacemaker using a left brachial cutdown and a retrograde delivery of a covered stent using ultrasound and fluoroscopic guidance. The patient's renal function precluded the use of contrast materials.Case Report: A 77 years old man presenting with acute renal failure and haemoglobin decrease arrived with an expanding pseudoaneurysm of the left axillary artery from a pacemaker placement. Considering the site of the lesion and patient's comorbidities, under echographic control, a Hemobahn ® stent-graft was placed; fluoroscopy assisted manipulation of guidewires and sheaths into the aortic arch. The procedure was successfully ended without any complications. At 8 months the stent graft was still patent.Conclusion: Ultrasound guidance may represent an alternative for pseudo-aneurysm exclusion without any use of contrast medium, especially in those patient where lesions are easily detectable using ultrasonography and when comorbidities contraindicate aggressive surgical or angiographic approach.
Tipologia IRIS:
01 - Articolo su periodico
Elenco autori:
D. Mazzaccaro, G. Malacrida, M.T. Occhiuto, S. Stegher, D.G. Tealdi, G. Nano
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