Document Detail


Endovascular repair of innominate artery injury secondary to air rifle pellet: a case report and review of the literature.
MedLine Citation:
PMID:  19131372     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Decreased morbidity makes endovascular treatment preferable for certain central aortic and great vessel injuries. We present a case of penetrating innominate injury, describe considerations of a catheter-based approach, and provide follow-up of repair. METHODS: A case report and review of the literature. RESULTS: A 16-year-old man presented with an isolated innominate artery injury following an air rifle wound. Standard transfemoral approach was used to gain access the innominate artery. The injury was treated with an 8 x 35 mm, balloon-expandable, covered stent. Completion imaging confirmed a well-positioned stent with exclusion of the injury and normal flow in distal vessels. There were no symptoms of stent migration or stenosis 1 year following the injury. CONCLUSIONS: Specific anatomic characteristics including its proximity to the carotid and vertebral arteries make the endovascular approach to the innominate artery unique. This case demonstrates the viability of catheter-based approaches in treating vascular injury.
Authors:
Shaun M Gifford; John T Deel; Daniel L Dent; V Seenu Reddy; Todd E Rasmussen
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2009-01-08
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  43     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2009 Jun-Jul
Date Detail:
Created Date:  2009-06-23     Completed Date:  2009-07-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  301-5     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, Wilford Hall Air Force Medical Center, San Antonio, Texas, USA. gifford@uthscsa.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Angioplasty, Balloon / instrumentation*
Brachiocephalic Trunk / injuries*,  radiography
Firearms
Humans
Male
Prosthesis Design
Stents*
Tomography, X-Ray Computed
Treatment Outcome
Wounds, Gunshot / radiography,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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