This Article Full Text (PDF) All Versions of this Article: 1538574408329269v1 43/3/301    most recent References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Gifford, S. M. Articles by Rasmussen, T. E. Search for Related Content PubMed PubMed Citation Articles by Gifford, S. M. Articles by Rasmussen, T. E. Social Bookmarking                         What's this?

Endovascular Repair of Innominate Artery Injury Secondary to Air Rifle Pellet: A Case Report and Review of the Literature

Division of Vascular Surgery, Wilford Hall Air Force Medical Center, San Antonio, Texas, gifford{at}uthscsa.edu

John T. Deel, MD

Division of Cardiothoracic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas

Daniel L. Dent, MD

and Division of Trauma & Emergency Surgery University of Texas Health Science Center at San Antonio, San Antonio, Texas

V. Seenu Reddy, MD, MBA

Division of Cardiothoracic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas

Todd E. Rasmussen, MD

Division of Vascular Surgery, Wilford Hall Air Force Medical Center, San Antonio, Texas

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.

Key Words: innominate artery • endovascular repair • penetrating arterial injury

This version was published on June 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 3, 301-305 (2009)
DOI: 10.1177/1538574408329269


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?