PMC6613056_01
Pre-surgical X-rays documented Gartland IIIB fracture of right humerus.
10.1177_1179547619857074-fig1.jpg
PMC6613056_01_10.1177_1179547619857074-fig1.jpg
fig1-1179547619857074
An X-ray documented a Gartland IIIB fracture (Figure 1).
Digital subtraction angiography demonstrated a short occlusion of distal brachial artery with recanalization of the ulnar and radial arteries.
10.1177_1179547619857074-fig2.jpg
PMC6613056_01_10.1177_1179547619857074-fig2.jpg
fig2-1179547619857074
With a percutaneous right common femoral arterial approach, digital subtraction angiography (DSA) was performed, showing occlusion of the distal brachial artery, with recanalization of the ulnar and radial arteries immediately below the bifurcation (Figure 2).
After crossing the lesion with two 0.014" guide wires, a 3 x 28 mm BVS was deployed.
10.1177_1179547619857074-fig3.jpg
PMC6613056_01_10.1177_1179547619857074-fig3.jpg
fig3-1179547619857074
A 3 x 28 mm BVS (Absorb; Abbott Vascular, Lakeside Drive, Santa Clara, CA) was released in the distal brachial artery (Figure 3), followed by remodeling with a non-compliant 2.5 x 20 mm balloon catheter to solve residual in-stent stenosis (Figure 4).
Immediate angiographic control showed correct positioning of the bioresorbable vascular scaffold with residual in-stent stenosis; the stent was dilated with a 2.5 mm catheter balloon.
10.1177_1179547619857074-fig4.jpg
PMC6613056_01_10.1177_1179547619857074-fig4.jpg
fig4-1179547619857074
A 3 x 28 mm BVS (Absorb; Abbott Vascular, Lakeside Drive, Santa Clara, CA) was released in the distal brachial artery (Figure 3), followed by remodeling with a non-compliant 2.5 x 20 mm balloon catheter to solve residual in-stent stenosis (Figure 4).
Final angiographic control showed restoration of the arterial flow.
10.1177_1179547619857074-fig5.jpg
PMC6613056_01_10.1177_1179547619857074-fig5.jpg
fig5-1179547619857074
The final angiography confirmed correct positioning and patency of the stent with restoration of distal flow (Figure 5).
36 months duplex ultrasound control confirmed the patency of the distal brachial artery.
10.1177_1179547619857074-fig6.jpg
PMC6613056_01_10.1177_1179547619857074-fig6.jpg
fig6-1179547619857074
A Doppler ultrasound scan performed 46 months after the procedure showed regular patency of the brachial artery (Figure 6).