Endovascular Repair of Transected Axillary Artery via Snare Assisted Through and Through Femoral to Brachial Artery Access

Axillary artery injury is a rare but complex surgical problem that often requires challenging exposures, lengthy operations, and morbid outcomes for repair. For these reasons, endovascular repair is an attractive alternative as it obviates many of the challenges present with open repair. While pseud...

Full description

Saved in:
Bibliographic Details
Published in:The American surgeon 2022-07, Vol.88 (7), p.1543-1545
Main Authors: Grzeda, Anthony L., Hicks, Adam C., Cheadle, Gerald A., Sangroula, Daisy, Wayne, Erik J., Dwivedi, Amit J., Sigdel, Abindra
Format: Article
Language:English
Subjects:
Axillary Artery - injuries
Axillary Artery - surgery
Blood flow
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
Brachial Artery - surgery
Cardiovascular system
Case reports
Contraindications
Endovascular Procedures
Femoral Artery - surgery
Femur
Hematoma
Humans
Implants
Injuries
Injury prevention
Medical imaging
Pseudoaneurysm
Repair
Stents
Treatment Outcome
Veins & arteries
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Axillary artery injury is a rare but complex surgical problem that often requires challenging exposures, lengthy operations, and morbid outcomes for repair. For these reasons, endovascular repair is an attractive alternative as it obviates many of the challenges present with open repair. While pseudoaneurysms, dissections, and short segment injuries with limited arterial disruption are regularly treated endovascularly, complete arterial transections are almost exclusively treated with open repair as obtaining wire access across the site of injury is often not possible. Here we report a case of successful endovascular repair of a completely transected axillary artery with the use of snare assistance to obtain through and through femoral to brachial artery access. This ultimately allowed for covered stent deployment across the axillary transection restoring distal blood flow. Snare assistance in obtaining through and through access across areas of complete transection can allow for increased use of endovascular repair.
ISSN:0003-1348
1555-9823
DOI:10.1177/00031348221083936