Endovascular management of innominate artery cannulation at the carotid-subclavian bifurcation using a kissing stent technique.

Sabrina Straus, Sabina M Sorondo, Keyuree Satam, Kenneth Tran

Abstract readCase Reports

In one paragraph

Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Sabrina StrausDivision of Vascular and Endovascular Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA.

Sabina M SorondoDivision of Vascular and Endovascular Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA.

Keyuree SatamDivision of Vascular and Endovascular Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA.

Kenneth TranDivision of Vascular and Endovascular Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Iatrogenic innominate artery cannulation during subclavian central venous access is rare but potentially life-threatening, particularly when occurring near the carotid-subclavian bifurcation. A 76-year-old man with polytrauma-sustained inadvertent right subclavian-innominate cannulation. Standard catheter removal carried a high risk of uncontrolled hemorrhage. Endovascular repair was performed using a kissing-stent technique: a Gore Excluder iliac extension limb (W. L. Gore & Associates; 16 × 14.5 mm) was deployed via brachial access, and a 9-mm VIABAHN stent (W. L. Gore & Associates) was used off-label in the carotid artery and reinforced proximally with a balloon-expandable bare-metal stent. Completion angiography confirmed patency and exclusion of the entry site. Kissing-stent deployment, including the novel use of the Gore Excluder limb, safely preserved branch perfusion, ensured durable seal, and avoided sternotomy.

Indexed as

Endovascular innominate repairKissing stentsVascular trauma

Identifiers

PMID42494504

DOI10.1016/j.jvscit.2026.102374

PMCPMC13393148

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.