Case Report
Percutaneous Placement of a Balloon-expandable Intraluminal Graft for Life-threatening Subclavian Arterial Hemorrhage

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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.

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  • Cited by (0)

    From the Miami Vascular Institute (G.J.B., J.F.B., G.Z., D.S.S., B.T.K.) and the Department of Surgery (C.A.S.), Baptist Hospital of Miami, 8900 N Kendall Dr, Miami, FL 33176, and the Department of Radiology, University of Heidelburg, Germany (T.K.R.).

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