A case of emergency stent graft placement for subclavian artery injury during ventriculoperitoneal shunt placement
With advancements in medical devices and imaging techniques, endovascular treatment using stent grafts has emerged as a viable and aggressive therapeutic option for traumatic subclavian artery injuries, including iatrogenic cases. Existing literature suggests that endovascular treatment is less inva...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324013670 |
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| author | Minoru Dote, MD Shingo Hamaguchi, MD Shoko Arizono, MD Songhyon Cho, MD Shinji Wada, MD Shintaro Nawata, MD Kazuki Hashimoto, MD Hidefumi Mimura, MD |
| author_facet | Minoru Dote, MD Shingo Hamaguchi, MD Shoko Arizono, MD Songhyon Cho, MD Shinji Wada, MD Shintaro Nawata, MD Kazuki Hashimoto, MD Hidefumi Mimura, MD |
| author_sort | Minoru Dote, MD |
| collection | DOAJ |
| description | With advancements in medical devices and imaging techniques, endovascular treatment using stent grafts has emerged as a viable and aggressive therapeutic option for traumatic subclavian artery injuries, including iatrogenic cases. Existing literature suggests that endovascular treatment is less invasive and offers hemostatic success rates comparable to traditional surgical methods. However, there is a paucity of case reports, necessitating further investigation into treatment indications and procedural challenges. We report the case of a 50-year-old woman who sustained a right subclavian artery injury during ventriculoperitoneal shunt placement, a rare occurrence of iatrogenic subclavian artery injury. In our approach, we utilized both the right common femoral artery and right radial artery to attempt a pull-through technique, although this was abandoned owing to radial artery spasm. Ultimately, a stent graft was successfully implanted by traversing the injury site with a micro-guidewire via the right common femoral artery. This case highlights the feasibility of endovascular treatment, even in rare injury mechanisms, provided that thorough preoperative and intraoperative imaging evaluations are performed. |
| format | Article |
| id | doaj-art-39a0e9e162534915ae631bf8dea9046f |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-39a0e9e162534915ae631bf8dea9046f2025-01-18T05:04:04ZengElsevierRadiology Case Reports1930-04332025-03-0120315741577A case of emergency stent graft placement for subclavian artery injury during ventriculoperitoneal shunt placementMinoru Dote, MD0Shingo Hamaguchi, MD1Shoko Arizono, MD2Songhyon Cho, MD3Shinji Wada, MD4Shintaro Nawata, MD5Kazuki Hashimoto, MD6Hidefumi Mimura, MD7Corresponding author.; Department of Diagnostic and Interventional Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, JapanDepartment of Diagnostic and Interventional Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, JapanDepartment of Diagnostic and Interventional Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, JapanDepartment of Diagnostic and Interventional Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, JapanDepartment of Diagnostic and Interventional Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, JapanDepartment of Diagnostic and Interventional Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, JapanDepartment of Diagnostic and Interventional Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, JapanDepartment of Diagnostic and Interventional Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, JapanWith advancements in medical devices and imaging techniques, endovascular treatment using stent grafts has emerged as a viable and aggressive therapeutic option for traumatic subclavian artery injuries, including iatrogenic cases. Existing literature suggests that endovascular treatment is less invasive and offers hemostatic success rates comparable to traditional surgical methods. However, there is a paucity of case reports, necessitating further investigation into treatment indications and procedural challenges. We report the case of a 50-year-old woman who sustained a right subclavian artery injury during ventriculoperitoneal shunt placement, a rare occurrence of iatrogenic subclavian artery injury. In our approach, we utilized both the right common femoral artery and right radial artery to attempt a pull-through technique, although this was abandoned owing to radial artery spasm. Ultimately, a stent graft was successfully implanted by traversing the injury site with a micro-guidewire via the right common femoral artery. This case highlights the feasibility of endovascular treatment, even in rare injury mechanisms, provided that thorough preoperative and intraoperative imaging evaluations are performed.http://www.sciencedirect.com/science/article/pii/S1930043324013670Subclavian artery injuryStent graftVentriculoperitoneal shunt |
| spellingShingle | Minoru Dote, MD Shingo Hamaguchi, MD Shoko Arizono, MD Songhyon Cho, MD Shinji Wada, MD Shintaro Nawata, MD Kazuki Hashimoto, MD Hidefumi Mimura, MD A case of emergency stent graft placement for subclavian artery injury during ventriculoperitoneal shunt placement Radiology Case Reports Subclavian artery injury Stent graft Ventriculoperitoneal shunt |
| title | A case of emergency stent graft placement for subclavian artery injury during ventriculoperitoneal shunt placement |
| title_full | A case of emergency stent graft placement for subclavian artery injury during ventriculoperitoneal shunt placement |
| title_fullStr | A case of emergency stent graft placement for subclavian artery injury during ventriculoperitoneal shunt placement |
| title_full_unstemmed | A case of emergency stent graft placement for subclavian artery injury during ventriculoperitoneal shunt placement |
| title_short | A case of emergency stent graft placement for subclavian artery injury during ventriculoperitoneal shunt placement |
| title_sort | case of emergency stent graft placement for subclavian artery injury during ventriculoperitoneal shunt placement |
| topic | Subclavian artery injury Stent graft Ventriculoperitoneal shunt |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324013670 |
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