[Roentgenendovascular arrest of bleeding in iatrogenic injury to the subclavian artery]. / Rentgenoéndovaskuliarnaia ostanovka krovotecheniia pri iatrogennom povrezhdenii podkliuchichnoi arterii.

The authors present a clinical case report concerned with the arrest of continuous external bleeding from the subclavian artery due to its iatrogenic injury at transluminal endoprosthetics by stent graft. In patient Zh. aged 23 years, the subclavian artery was injured when an attempt was made to piece a subclavian venous catheter. Under conditions of remarkable coagulopathy because of prolonged mechanical jaundice, the patient developed a major hematoma of the right neck and the right chest. To handle continuous bleeding, a JOSTEHT-GRAFT (7.0 in D, 28 mm in length) was implanted into subclavian artery defect. The bleeding was handled and the patency of the great artery was maintained. The roentgenendovascular procedure allowed to avoid a technically difficult traumatic surgical intervention under conditions of pronounced anemia and coagulopathy.