Endovascular treatment of iatrogenic axillary artery pseudoaneurysm under echographic control: A case report

Daniela Mazzaccaro, Giovanni Malacrida, Maria T. Occhiuto, Silvia Stegher, Domenico G. Tealdi, Giovanni Nano

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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.

Original languageEnglish
Article number78
JournalJournal of Cardiothoracic Surgery
Volume6
Issue number1
DOIs
Publication statusPublished - May 27 2011

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ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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