Modern management of traumatic subclavian artery injuries: a single institution's experience in the evolution of endovascular repair

Carrick, Matthew M.; Morrison, C. Anne; Pham, Hoang Q.; Norman, Michael; Marvin, Blake; Lee, Jeffery; Wall, Matthew J.; Mattox, Kenneth L.

doi:10.1016/j.amjsurg.2008.11.031

Cited by 75 publications

(64 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In most series, patients who were unstable were not considered for endovascular therapy, and in one series, the authors report one patient dying of exsanguinations in the angiography suite (Carrick, et al, 2010). Despite this, some centers with significant endovascular experience and 24 hour a day on call interventional teams have utilized stent-grafts in unstable patients with some success (Cohen, et al, 2008).…”

Section: Subclavianmentioning

confidence: 99%

“…Because of this alternatives to open surgical repair are very attractive, and there is growing experience with covered stents for treatment of subclavian artery injuries (Figure 8, 9a, 9b, 9c). Several case series have been reported revealing mortality of 0-33%, technical success rates ranging from 67-100%, primary patency rates of 83-100%, short term complications occurring in 0-22% of patients, and long term complications ranging from 0-32% (Carrick, et al, 2010;Castelli, et al, 2005;Cohen, et al, 2008;Danetz, et al, 2005;du Toit, et al, 2008;Hilfiker, et al, 2000). Short term complications most often include access site bleeding/hematoma, infection, pseudoaneurysm and fistula.…”

Section: Subclavianmentioning

confidence: 99%

“…Increasingly CT scanning is being utilized for diagnosis of thoraco-abdominal vascular injury. Intravascular interventions such as covered stents have been increasingly utilized for treatment of thoracic, subclavian and iliac arterial injuries, structures which have classically been difficult to expose and treat surgically (Asensio, et al, 2001a;Boufi, et al, 2011;Carrick, et al, 2010;Castelli, et al, 2005;Cestero, et al, 2009;Demetriades, et al, 2008a;Demetriades, et al, 2008b;Starnes & Arthurs. 2006).…”

Section: Thoraco-abdominal Vascular Injurymentioning

confidence: 99%

See 2 more Smart Citations

Vascular Trauma: New Directions in Screening, Diagnosis and Management

Kobayashi¹,

Coimbra²

2012

Vascular Surgery

View full text Add to dashboard Cite

Section: Subclavianmentioning

confidence: 99%

Section: Subclavianmentioning

confidence: 99%

Section: Thoraco-abdominal Vascular Injurymentioning

confidence: 99%

See 1 more Smart Citation

Vascular Trauma: New Directions in Screening, Diagnosis and Management

Kobayashi¹,

Coimbra²

2012

Vascular Surgery

View full text Add to dashboard Cite

“…Endovascular treatment of SAD and others injuries of subclavian artery, with stent placement, 1,13) has proved better than open surgery since burdened by a lower rate of complications. 14) However, a conservative approach with medical therapy alone, has shown excellent outcomes, with cases of spontaneous remission. 4) We report a rare case of minimally symptomatic post-traumatic left SAD in a 21-year-old woman without any cardiovascular risk factor.…”

Section: Management Of Left Subclavian Artery Dissectionmentioning

confidence: 99%

Conservative Management in a Young Woman Affected by Isolated Left Subclavian Artery Dissection

Catanese

Pegorer

Bissacco

et al. 2014

Annals of Vascular Diseases

View full text Add to dashboard Cite

Subclavian Artery Dissection (SAD) is a rare condition, generally due to arterial catheterization, blunt trauma or connective tissue disease. Spontaneous or minimally traumatic cases have also been reported. Clinical manifestations are usually chest and/or back pain, pulse loss and paresthesia, whereas nausea, dizziness and vomiting are present in case of involvement of the vertebral artery. We report an unusual case of a young woman presenting isolated left SAD after traffic accident, minimally symptomatic, and treated with medical therapy alone. A conservative management and a closed follow-up appear to be a safe approach in patients affected by uncomplicated SAD without other comorbidities.

show abstract

“…coverage of this artery may theoretically compromise cerebral circulation. the theoretical possibility of pressure on the brachial plexus from non-evacuated hematoma (during endovascular surgery) causing neural injury has not been proven to be of concern (6).…”

Section: Subclavian Artery Injurymentioning

confidence: 99%

Endovascular Therapy And Controversies In The Management Of Vascular Trauma

Jacks

Degiannis

2014

Scand J Surg

View full text Add to dashboard Cite

Aim: To review the advent of endovascular treatment of vascular injuries and its controversies. Methods: Literature review over the past 13 years using the PubMed search engine. Results: The management of vascular trauma has changed dramatically over the last decade. This is mainly due to the advent of advanced endovascular techniques and technologies. There are, however, a limited number of publications with a correspondingly small number of patients and lack of long-term follow-up. In this article, we discuss the injuries to different vessel groups and their respective endovascular approaches. Of the literature available, the endovascular management of aortic injuries still holds the most experience and has shown favorable results. Conclusion: Endovascular management of vascular injuries is a new addition to the armamentarium of the surgeon. The fact that it is minimally invasive is a major advantage and the published data are encouraging. However, in order to determine which anatomical sites and circumstances are most appropriate for this method versus open surgery, more reports are necessary.

show abstract

Modern management of traumatic subclavian artery injuries: a single institution's experience in the evolution of endovascular repair

Cited by 75 publications

References 18 publications

Vascular Trauma: New Directions in Screening, Diagnosis and Management

Vascular Trauma: New Directions in Screening, Diagnosis and Management

Conservative Management in a Young Woman Affected by Isolated Left Subclavian Artery Dissection

Endovascular Therapy And Controversies In The Management Of Vascular Trauma

Contact Info

Product

Resources

About