• Register
  • Login

Canadian Journal of Medicine

  1. Home
  2. Iatrogenic Brachiocephalic Artery Trunk Perforation Successfully Treated with Percutaneous Implantation of Covered Stent

Current Issue

By Issue

By Author

By Subject

Author Index

Keyword Index

About Journal

Related Links

FAQ

Aims and Scope

Editorial Board

Peer Review Process

Indexing and Abstracting

News

Iatrogenic Brachiocephalic Artery Trunk Perforation Successfully Treated with Percutaneous Implantation of Covered Stent

    Authors

    • Antonio Rizza 1
    • Francesco Negro 2
    • Alberto R. De Caterina 1
    • Cataldo Palmieri 1
    • Sergio Berti 1

    1 Division of Interventional Cardiology, Fondazione Toscana Gabriele Monasterio, Massa, Italy

    2 Division of Cardiology of Pisa, Italy

,
10.33844/cjm.2021.60504
  • Article Information
  • Download
  • Export Citation
  • Statistics
  • Share

Abstract

Percutaneous coronary intervention through right radial artery access significantly reduces vascular complications compared to femoral access—an 80-year-old woman presented with non-ST segment elevation acute coronary syndromes (NSTE ACS).  Coronary angiography performed using right radial artery access showed left anterior descendent artery disease with multiple stenoses, which was treated percutaneously. Ten minutes after the procedure, the patient presented dyspnea, hypotension, neck edema, and jugular turgor. She was immediately intubated and treated with invasive ventilation, fluid expansion, corticosteroids, and vasopressors. Urgent computerized tomography showed brachiocephalic artery trunk dissection and perforation with extravascular hemorrhage in the mediastinum and neck with venous compression without any sign of aortic, carotid, or subclavian dissection. Two days later, the percutaneous endovascular repair was performed, and a covered self-expanding stent was successfully positioned in the brachiocephalic trunk, sealing the perforation and treating the dissection. The patient progressively recovered and was discharged for rehabilitation. We provided the first report of a brachiocephalic trunk perforation using a radial approach, causing mediastinal and neck hematoma treated with percutaneous endovascular repair showing that vascular complications can be successfully treated percutaneously if be performed by an experienced team.

Keywords

  • Percutaneous endovascular repair
  • Radial access
  • Vascular complications
  • Brachiocephalic trunk perforation

Main Subjects

  • Medicine
  • XML
  • PDF 868.53 K
  • RIS
  • EndNote
  • Mendeley
  • BibTeX
  • APA
  • MLA
  • HARVARD
  • CHICAGO
  • VANCOUVER
    • Article View: 592
    • PDF Download: 367
Canadian Journal of Medicine
Volume 3, Issue 2
April 2021
Page 61-64
Files
  • XML
  • PDF 868.53 K
Share
Export Citation
  • RIS
  • EndNote
  • Mendeley
  • BibTeX
  • APA
  • MLA
  • HARVARD
  • CHICAGO
  • VANCOUVER
Statistics
  • Article View: 592
  • PDF Download: 367

APA

Rizza, A. , Negro, F. , R. De Caterina, A. , Palmieri, C. and Berti, S. (2021). Iatrogenic Brachiocephalic Artery Trunk Perforation Successfully Treated with Percutaneous Implantation of Covered Stent. Canadian Journal of Medicine, 3(Issue 2), 61-64. doi: 10.33844/cjm.2021.60504

MLA

Rizza, A. , , Negro, F. , , R. De Caterina, A. , , Palmieri, C. , and Berti, S. . "Iatrogenic Brachiocephalic Artery Trunk Perforation Successfully Treated with Percutaneous Implantation of Covered Stent", Canadian Journal of Medicine, 3, Issue 2, 2021, 61-64. doi: 10.33844/cjm.2021.60504

HARVARD

Rizza, A., Negro, F., R. De Caterina, A., Palmieri, C., Berti, S. (2021). 'Iatrogenic Brachiocephalic Artery Trunk Perforation Successfully Treated with Percutaneous Implantation of Covered Stent', Canadian Journal of Medicine, 3(Issue 2), pp. 61-64. doi: 10.33844/cjm.2021.60504

CHICAGO

A. Rizza , F. Negro , A. R. De Caterina , C. Palmieri and S. Berti, "Iatrogenic Brachiocephalic Artery Trunk Perforation Successfully Treated with Percutaneous Implantation of Covered Stent," Canadian Journal of Medicine, 3 Issue 2 (2021): 61-64, doi: 10.33844/cjm.2021.60504

VANCOUVER

Rizza, A., Negro, F., R. De Caterina, A., Palmieri, C., Berti, S. Iatrogenic Brachiocephalic Artery Trunk Perforation Successfully Treated with Percutaneous Implantation of Covered Stent. Canadian Journal of Medicine, 2021; 3(Issue 2): 61-64. doi: 10.33844/cjm.2021.60504

  • Home
  • About Journal
  • Editorial Board
  • Submit Manuscript
  • Contact Us
  • Sitemap

News

  • PubMed, a practical free resource for medical students 2022-05-23
  • Tips on rules of publishing articles in journals 2022-01-13
  • What is the BEST title for your research paper? 2021-12-29
  • On paraphrasing 2021-12-23
  • United Nations SDG Publishers Compact 2021-12-20

Newsletter Subscription

Subscribe to the journal newsletter and receive the latest news and updates

©