Subclavian artery disruption resulting from endovascular intervention: Treatment options

Endovascular intervention is a commonly accepted form of treatment in patie nts with subclavian artery stenosis. Complications will undoubtedly occur a s the utility of catheter-based intervention continues to rise. We report t wo cases of subclavian artery disruption as a result of endovascular interv ention. One patient had contrast extravasation after the deployment of a ba lloon-expandable stent in a stenotic subclavian artery, and the arterial in jury 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 arte rial reconstruction with a prosthetic bypass graft. These cases illustrate different therapeutic methods of treating subclavian artery rupture due to endovascular intervention.