Endovascular repair of isolated post-traumatic subclavian artery false-aneurysm (FA) using gore viabahn vbx-balloon-expandable (BE) stent-graft: case report and literature review

Endovascular repair of isolated post-traumatic subclavian artery false-aneurysm (FA) using gore viabahn vbx-balloon-expandable (BE) stent-graft: case report and literature review


  • Marco Perri
  • Carmine Timpani
  • Laura Capoccia
  • Giampaolo Bianchi
  • Rosario Francesco Balzano
  • Teresa Popolizio
  • Anna Maria Pennelli
  • Giuseppe Guglielmi
  • Marcello D'Elia
  • Pietro Filauri


Subclavian artery aneurysm, self-expandable stent, balloon-expandable stent, true aneurysm, false aneurysm


True and false aneurysms (FA) of the subclavian artery are at high risk of rupture due to their localization and proximity/closeness to the articular bone structures of the upper thoracic outlet and shoulders. Surgical and endovascular treatments are good options to avoid complications such as aneurysms rupture, thrombosis and distal embolism alone or in combination. Self-expandable (SE) covered stents are the most used devices for the treatment of subclavian artery aneurysms. We report on a case of post traumatic left intra-thoracic subclavian artery FA treated using endovascular technique, highlighting the usefulness of the new covered Gore Viabahn VBX-BE stent-graft that combines the advantages of a high radial strength of a BE stent with the deliverability and conformability of a SE stent.



Vierhout BP, Zeebregts CJ, van den Dungen JJ, Reijnen MM. Changing profiles of diagnostic and treatment options in subclavian artery aneurysms. Eur J Vasc Endovasc Surg 2010;40(1):27-34.

Andersen ND, Barfield ME, Hanna JM, et al. Intrathoracic subclavian artery aneurysm repair in the thoracic endovascular aortic repair era. J Vasc Surg. 2013;57(4):915-925.

Kim SS, Jeong MH, Kim JE, et al. Successful treatment of a ruptured subclavian artery aneurysm presenting as hemoptysis with a covered stent. Chonnam Med J. 2014;50(2):70-73.

Lawrence PF, Gazak C, Bhirangi L, et al. The epidemiology of surgically repaired aneurysms in the United States. J Vasc Surg. 1999;30(4):632-640.

Maskanakis A, Patelis N, Moris D, Tsilimigras DI, Schizas D, Diakomi M, Bakoyiannis C, Georgopoulos S, Klonaris C, Liakakos T. Stenting of Subclavian Artery True and False Aneurysms: A Systematic Review. Ann Vasc Surg 2018 Feb;47:291-304..

Morimoto K, Matsuda H, Fukuda T, et al. Hybrid repair of proximal subclavian artery aneurysm. Ann Vasc Dis. 2015;8(2):87-92.

Chemelli AP, Wiedermann F, Klocker J, et al. Endovascular management of inadvertent subclavian artery catheterization during subclavian vein cannulation. J Vasc Interv Radiol. 2010;21(4): 470-476.

McCollum CH, Da Gama AD, Noon GP, DeBakey ME. Aneurysm of the subclavian artery. J Cardiovasc Surg (Torino). 1979; 20(2):159-164.

Dent TL, Lindenauer SM, Ernst CB, Fry WJ. Multiple arteriosclerotic arterial aneurysms. Arch Surg 1972;105(2):338–44.

Pairolero PC, Walls JT, Payne WS, Hollier LH, Fairbairn 2nd JF. Subclavian-axillary artery aneurysms. Surgery 1981;90(4):757–63.

Dotter CT. Transluminally-placed coilspring endarterial tube grafts: long-term patency in canine popliteal artery. Invest Radiol 1969;4:329 –332.

Blum U, Langer M, Spillner G, et al. Abdominal aortic aneurysms: preliminary technical and clinical results with transfemoral placement of endovascular self-expanding stent-grafts. Radiology 1996; 198: 25–31.

Blum U, Voshage G, Lammer J, et al. Endoluminal stent-grafts for infrarenal abdominal aortic aneurysms. N Engl J Med 1997; 336:13– 20.

Parodi JC, Criado FJ, Barone HD, Schonholz C, Queral LA. Endoluminal aortic aneurysm repair using a balloon-expandable stent-graft device: a progress report. Ann Vasc Surg 1994; 8:523–529.

Dake MD, Miller DC, Semba CP, Mitchell RS, Walker PJ, Liddell RP. Transluminal 115 placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med 1994; 331:1729 –1734.

Franz RW, Fraser SR. Endovascular repair of incidentally found subclavian artery aneurysm: a case report from an urban level 1 trauma center. Vasc Endovascular Surg 2018;52(5):382–5.

Mohan S, Schanzer A, Robinson WP, Aiello FA. Endovascular management of radiation-induced subclavian and axillary artery aneurysms. J Vasc Surg 2016;64 (4):1135–7.

Qing KX, Yang B, Cai HB, Jin H. Successful endovascular repair in a patient with isolated proximal subclavian artery dissecting aneurysm: case report and literature review. Ann Vasc Surg 2016;35:206 e 205–208.

Bernal LR, Portero JL, Vila M, Ruiz DF, Reparaz LM. Hemoptysis caused by a left subclavian pseudoaneurysm: endovascular solution for a challenging case. Vascular 2013;21(3):159-162.

Cronenwett JL, Johnston W. Rutherfords 8th ed. Philadelphia, PA: Elsevier Sauders; 2014.

Bower TC, Ricotta JJ. Subclavian and axillary artery aneurysms; operative treatment. Current Therapy in Vascular and Endovascular Surgery 5th ed. Philadelphia, PA: Elsevier Sauders; 2014.

Li L, Zhang J, Wang R, Li J, Gu Y, Yu H. Endovascular Repair of a Right Subclavian Artery Aneurysm with Coil Embolization and Stent Graft: Case Report and Literature Review. Ann Vasc Surg 2016;36(290 e291-290 e295.

Meyer T, Merkel S, Lang W. Combined operative and endovascular treatment of a post-traumatic embolizing aneurysm of the subclavian artery. J Endovasc Surg 1998;5(1):52-55.

Andrew H, Stephen M, Brendan B, Brigid C, Frances C, Andrew H. First-in-Human Experience With the Gore Balloon-Expandable Covered Endoprosthesis in Iliac Artery Occlusive Disease. J Endovascular Ther. 2017 Feb;24(1):11-18.

Tanmit P, Angkasith P, Teeratakulpisarn P, Thanapaisal C, Wongkonkitsin N, Prasertcharoensuk S, Panich C. Treatment Outcome of Traumatic Subclavian Artery Injuries. Vasc Health Risk Manag. 2021 Aug 16;17:481-487.

Sung Soo K, Myung Ho J, Ji Eun K, Yi Rang Y, Hyuk Jin P, Seung Hun L, Shi Hyun R, Young Wook J, Ju Han K, Jeong Gwan C and Jong Chun P. Successful Treatment of a Ruptured Subclavian Artery Aneurysm Presenting as Hemoptysis with a Covered Stent. Chonnam Med J 2014;50:70-73




How to Cite

Perri M, Timpani C, Capoccia L, Bianchi G, Balzano RF, Popolizio T, et al. Endovascular repair of isolated post-traumatic subclavian artery false-aneurysm (FA) using gore viabahn vbx-balloon-expandable (BE) stent-graft: case report and literature review. Acta Biomed [Internet]. 2022 Apr. 14 [cited 2024 Jul. 19];93(S1):e2022080. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/12537