Key result
Covered stent deployment via a transradial approach is a quick, safe, and effective treatment for iatrogenic left internal mammary artery perforation.
Why the study?
Inadvertent perforation of the left internal mammary artery during blind subclavian vein access for pacemaker or central venous catheter insertion is an emergency requiring immediate management.
Case Report
Covered stent deployment via a transradial approach is a safe and effective treatment for iatrogenic left internal mammary artery perforation.
Answers are grounded in this paper and cite their sources.
Supports transradial covered stent feasibility in LIMA perforation; leaves open need for confirmatory series before practice change.
Inadvertent perforation of the left internal mammary artery during a blind approach to the subclavian vein for pacemaker or central venous catheter insertion is an emergency that requires immediate treatment. Covered stent deployment is a quick and effective treatment, especially in patients with hemodynamic instability. The procedure may be safely performed by using the radial approach. (Level of Difficulty: Intermediate.)
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Baldi et al. (2019) conducted a case report in Iatrogenic left internal mammary artery perforation. Covered stent deployment via transradial approach was evaluated. Covered stent deployment via a transradial approach is a quick, safe, and effective treatment for iatrogenic left internal mammary artery perforation.
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