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Ischemic prevention for stent implantation via brachial artery in children
Author(s) -
Matsui Hikoro,
Yasukochi Satoshi,
Satomi Gengi
Publication year - 2009
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22001
Subject(s) - medicine , brachial artery , forearm , stent , surgery , cardiology , stenosis , complication , shunt (medical) , radial artery , peripheral , femoral artery , artery , blood pressure
Abstract An 11‐year‐old boy received stent implantation for peripheral pulmonary stenosis through the left modified Blalock‐Taussig shunt from the left brachial approach because of the hairpin‐shaped route from a femoral or carotid approach. A temporary bypass between the left radial and the femoral arteries was established to prevent ischemic complication of the left forearm. There was no ischemic change of the left forearm in the physiological monitoring despite the long procedure (more than 4 hr) and brachial arterial spasms. No complications occurred after the procedure. The temporary bypass will support fewer complications in various catheter interventions through a brachial arterial approach in children. © 2009 Wiley‐Liss, Inc.