Pneumatic compression for embolic protection during upper extremity endovascular intervention

Andrew Cassar, Gregory W. Barsness, Waldemar E. Wysokinski, Shaun M. Gifford, Thomas C. Bower, William D. Edwards, Rajiv Gulati

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)70-73
Number of pages4
JournalVascular and Endovascular Surgery
Volume48
Issue number1
DOIs
StatePublished - Jan 1 2014

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Keywords

  • axillary stenosis
  • embolic protection
  • giant cell arteritis
  • peripheral stent
  • subclavian stenosis

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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