Subclavian artery disruption resulting from endovascular intervention: treatment options

J Vasc Surg. 2000 Sep;32(3):607-11. doi: 10.1067/mva.2000.109334.


Endovascular intervention is a commonly accepted form of treatment in patients with subclavian artery stenosis. Complications will undoubtedly occur as the utility of catheter-based intervention continues to rise. We report two cases of subclavian artery disruption as a result of endovascular intervention. One patient had contrast extravasation after the deployment of a balloon-expandable stent in a stenotic subclavian artery, and the arterial injury was successfully treated with balloon tamponade. A second patient had a large subclavian pseudoaneurysm 4 months after a balloon-expandable stent placement. Successful repair was achieved in this patient by means of arterial reconstruction with a prosthetic bypass graft. These cases illustrate different therapeutic methods of treating subclavian artery rupture due to endovascular intervention.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, False / therapy*
  • Angiography
  • Balloon Occlusion
  • Blood Vessel Prosthesis Implantation
  • Catheterization
  • Female
  • Humans
  • Male
  • Rupture
  • Stents*
  • Subclavian Artery / diagnostic imaging
  • Subclavian Artery / injuries*
  • Subclavian Steal Syndrome / diagnostic imaging
  • Subclavian Steal Syndrome / therapy*