| Autor: |
Grzeda AL; Department of Surgery, 5170University of Louisville School of Medicine, Louisville, KY, USA., Hicks AC; Department of Surgery, 5170University of Louisville School of Medicine, Louisville, KY, USA., Cheadle GA; Department of Surgery, 5170University of Louisville School of Medicine, Louisville, KY, USA., Sangroula D; Department of Anesthesiology, 5170University of Louisville School of Medicine, Louisville, KY, USA., Wayne EJ; Department of Surgery, 5170University of Louisville School of Medicine, Louisville, KY, USA., Dwivedi AJ; Department of Surgery, 5170University of Louisville School of Medicine, Louisville, KY, USA., Sigdel A; Department of Surgery, 5170University of Louisville School of Medicine, Louisville, KY, USA. |
| Abstrakt: |
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. |
