Pneumatic Compression for Embolic Protection During Upper Extremity Endovascular Intervention. (January 2014)

• Record Type: Journal Article
• Authors: Cassar, Andrew; Barsness, Gregory W.; Wysokinski, Waldemar E.; Gifford, Shaun M.; Bower, Thomas C.; Edwards, William D.; Gulati, Rajiv
• Is Part Of: Vascular & endovascular surgery. Volume 48:Number 1(2014)
• Page Start: 70
• Page End: 73
• Publication Date: 2014-01
• Subjects: axillary stenosis -- subclavian stenosis -- peripheral stent -- embolic protection -- giant cell arteritis; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574413510622
• Languages: English
• ISSNs: 1538-5744

Abstract

Embolic protection devices are occasionally employed during endovascular interventions to prevent complications caused by embolic debris. However, these devices have imperfect efficacy, confer risk of endovascular trauma, and are expensive. We report a patient with giant cell arteritis and symptomatic axillary artery stenosis, with a perceived elevated risk of distal embolization during endovascular intervention. We describe a straightforward embolic protection technique of brachial pressure cuff inflation during endovascular intervention and aspiration of displaced thrombotic material from the static column of blood. This novel, effective, and cost-free technique could also be employed in other vascular beds during endovascular intervention.