Endovascular repair of iatrogenic subclavian artery perforations using the Hemobahn stent-graft

Purpose: To report the use of a new self-expanding endograft for percutaneous treatment of iatrogenic subclavian artery perforations. Case Reports: The subclavian artery of 2 patients was inadvertently cannulated during percutaneous attempts to implant a permanent pacemaker in one and catheterize the sub-clavian vein in the other. Because both patients had serious comorbidities, endovascular repair of the subclavian perforations was performed using the Hemobahn endograft, a nitinol stent covered internally with expanded polytetrafluoroethylene. The endoprostheses were successfully deployed via an ipsilateral brachial artery access. No signs of endograft occlusion, migration, deformation, or fracture have been observed during followup at 12 and 10 months, respectively, in these patients. Conclusions: The Hemobahn stent-graft appears well suited to repairing subclavian artery injuries. Longer follow-up will determine if the design of this endograft will resist compression in this vascular location.