Balloon assisted stent deployment in the cephalic arch (BASCA)
- Resource Type
- Authors
- William D Bryan; Ambarish P. Bhat
- Source
- Radiology Case Reports, Vol 16, Iss 4, Pp 971-974 (2021)
Radiology Case Reports
- Subject
- lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty
medicine.medical_treatment
lcsh:R895-920
Case Report
Balloon
030218 nuclear medicine & medical imaging
03 medical and health sciences
Cephalic arch
0302 clinical medicine
Stent deployment
Angioplasty
Stent graft
Medicine
Radiology, Nuclear Medicine and imaging
Arch
Dialysis
business.industry
Stent
Brachiocephalic fistula
medicine.disease
Surgery
Balloon assisted
Stenosis
surgical procedures, operative
business
Axillary vein
030217 neurology & neurosurgery
- Language
- English
- ISSN
- 1930-0433
Cephalic arch stenosis causes repeated dysfunction and failure of arteriovenous access. Outcomes following balloon angioplasty alone in this location are unsatisfactory. Stent grafts have very good patency rates in this location. However, stent graft placement is technically challenging in this location due to the adverse angles and vectors of the cephalic arch. Stent graft deployment in this location is associated with a real risk of jailing the axillary vein, thereby precluding the use of that arm for future accesses and/or predisposes to venous edema. We describe a technique that was used to safely and effectively deploy a stent graft in the cephalic arch of a 65-year-old male patient.