Endovascular Treatment of a Traumatic Axillary Artery Rupture Using the Dual Bull's-Eye Technique
| Autor: | Florentino Vega García, Francisco Álvarez Marcos, Sara Busto Suárez, Amer Zanabili Al-Sibbai, Carmen González Canga, Manuel Alonso Pérez, Lino Antonio Camblor Santervas |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Percutaneous business.industry medicine.medical_treatment Stent General Medicine 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences 0302 clinical medicine Lumbar medicine.anatomical_structure Axillary artery medicine.artery medicine Endovascular treatment Bull's Eye Cardiology and Cardiovascular Medicine business Reduction (orthopedic surgery) Artery |
| Zdroj: | Annals of Vascular Surgery. 69:447.e17-447.e21 |
| ISSN: | 0890-5096 |
| DOI: | 10.1016/j.avsg.2020.05.025 |
| Popis: | Background Our purpose is to report a case of an axillary artery rupture treated by endovascular means using the dual bull’s-eye technique. An 83-year-old woman with multiple comorbidities was diagnosed with axillary artery rupture after the reduction of a shoulder dislocation. Methods An endovascular repair attempt was made, but, despite the use of a double approach (antegrade and retrograde), reconnecting both ends of the severed artery was deemed not possible. 5-mm Amplatz GooseNeck snares were advanced from each access and superposed in a perpendicular plane. A percutaneous infraclavicular puncture with a lumbar needle was made through both snares, and a V14 guidewire was subsequently introduced. The guidewire was recovered through femoral and brachial accesses, and a 7 × 100 mm covered self-expandable stent was deployed. Results The final angiographic control did not show further hemorrhage, and the patient recovered radial pulse. Follow-up showed complete patency and no complications at 9 months after the procedure. Conclusions The dual bull’s-eye technique can be used as a resource tool in cases of arterial rupture, when the arterial continuity cannot be re-established by conventional approaches. |
| Databáze: | OpenAIRE |
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