Iatrogenic Arterial Perforation During Endovascular Interventions

Cureus. 2020 Aug 25;12(8):e10018. doi: 10.7759/cureus.10018.

Abstract

The use of minimally invasive endovascular procedures has increased, and as such, the frequency of associated vascular complications has also increased. Regardless of the access site location, rarely, arterial perforation can occur, which can be fatal if not properly managed. Interventionalists should be aware of the risk factors for perforation, commonly perforated vessels, and how different sites of perforation are diagnosed and managed. Rapid recognition and endovascular management reduce the need for open surgical repair, and thus reduce the morbidity and mortality of these complications. This review outlines the presentation, diagnosis, and management of iatrogenic perforations of the subclavian artery, thyrocervical trunk (TT), common carotid artery, superficial femoral artery (SFA), and external iliac artery.

Keywords: arterial injury; carotid stent; common carotid artery; covered stent; external iliac artery; interventional cardiology; interventional radiology guided embolization; subclavian artery perforation; superficial femoral artery; thyrocervical trunk.

Publication types

  • Review