In Reply to: Case 1097_04 -- Intravascular stent placement for traumatic intimal flap of subclavian artery posted by Editor on October 14, 1997 at 15:47:40:
An interesting problem - not sure what the answer is, but here are a few thoughts..
1. Agree with others here that this should probably not be treated with stent placement at initial presentation. If the injury is transmural, and the vessel ruptures, there would be a high likelihood that the patient may exsanguinate on the table. As for lessening chance of emboliztion, I have used BP cuff on arm for reactive hyperemia, IA NTG or other, and worked as fast as possible using primary stenting to get the lumen open as fast as possible, and plaster plaque and thrombus against wall quickly. No events as of yet...
2. Have only used Palmaz stents - I think Wallstents shorten so unpredictably that I don't think I can be sure where the trailing end will land!