Endovascular repair of blunt axillo-subclavian arterial injuries as the first line treatment

Injury
Miltiadis MatsagkasEleni Arnaoutoglou

Abstract

To report and analyse our results regarding the endovascular management of blunt axillo-subclavian arterial injuries as the first line treatment. During an eight-year period, seven patients (mean age 56.4±14.1 years, all males) with blunt traumatic axillo-subclavian arterial injuries were presented to the emergency department. All patients suffered also from concomitant other injuries and had a supraclavicular haematoma along with diminished or absent upper limb peripheral pulses, while computed tomography angiography set the diagnosis. The endovascular procedure was technically successful in all patients. No procedure-related complication was encountered during the in-hospital stay, while none of the patients died. The median hospital stay was 22 days (range 12-46). During a follow-up period spanning an average of 27 months (range 6-44 months) there was one stent-graft thrombosis at 12 months in an otherwise asymptomatic patient that required no further intervention. Endovascular technique seems to constitute a reliable approach for treating blunt axillo-subclavian arterial injuries in the emergent setting. Despite uncertainties in patient selection and optimal management algorithms, it seems that endovascular approach could b...Continue Reading

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Citations

Sep 3, 2016·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Shan ZhongDeming Qi
Apr 18, 2019·Vascular and Endovascular Surgery·Julia D Glaser, Venkat R Kalapatapu
Jul 7, 2020·Journal of Cardiovascular and Thoracic Research·Niki TadayonSeyed Moahammad Reza Kalantar-Motamedi
Dec 16, 2019·International Journal of Surgery Case Reports·Adel ElkbuliStacey Martindale

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