Endovascular Treatment of Penetrating Thoracic Outlet Arterial Injuries

Abstract

endovascular treatment shows promise as a treatment modality for thoracic outlet arterial injuries. Long-term follow-up is required for comparison to the results of standard surgical repair.

Endovascular management of traumatic cervicothoracic arteriovenous fistula

“…Techniques available include selective arterial embolization 19,20 and use of stent-grafts 21,22 alone, or in combination. Potential advantages include less invasive remote access, a shorter hospital stay, less blood loss and the use of local anaesthesia.…”

Emergent Surgical Repair for Penetrating Injury of the Cervical Carotid Artery Associated With Shock -Case Report-

“…1,3) However, our patient also had venous injury which was also controlled by manual compression. The damaged veins were ligated and coagulated, which resulted in complete hemostasis.…”

Endovascular repair of the left subclavian artery after gunshot wound: an alternative to surgical treatment

“…No significant differences in terms of effectiveness have been reported. The short and medium-term results of endovascular treatment, as reported by Patel et al 15 , Du Toit et al 6 and Hilfiker et al 16 are encouraging, as they show a low rate of in-stent restenosis and thrombosis. However, no longterm results have been reported yet.…”

“…Such traumas lead to various types of lesion, including arterial wall rupture, intimal tearing, dissection, pseudoaneurysms and/or the development of arteriovenous fistulas. Associated lesions include injuries to the brachial plexus and the aerodigestive tracts [3][4][5][6][7] . Subclavian artery lesions are feared because they are associated with a high morbidity and mortality rate, and because adequate surgical exposure is difficult to obtain.…”