Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Endovascular treatment of iatrogenic axillary artery pseudoaneurysm under echographic control: A case report. | Mazzaccaro et al. Journal of Cardiothoracic Surgery 2011 6 78 http content 6 1 78 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access 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 and Giovanni Nano 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. Introduction A pseudoaneurysm is a rare but serious complication after pace-maker placement procedures. Because of the risk of expansion and rupture prompt repair is indicated 1 . Endovascular procedures currently represent a preferred treatment for these lesions as they are less invasive than surgical approach. Endovascular repair however implicates the use of a iodine c ontrast medium which may represent a contraindication for patients with a severe renal impairment. We report here the first case of .
