Uncertain Patency of Covered Stents Placed for Traumatic Axillosubclavian Artery Injury

Endovascular repair of traumatic axillosubclavian artery injuries

“…10 Because of the associated morbidity, a shift has occurred toward endovascular-based therapy during the past two decades. 15 Although the literature has remained limited to case series and small retrospective studies, the technical success rates for endovascular procedures have ranged from 66% to 100%, with most studies reporting no periprocedural mortality. 11 , 13 , 15 , 16 , 17 , 18 , 19 , 20 …”

Axillo-subclavian dissection and pseudoaneurysm following inferior glenohumeral dislocation: Case report and literature review

“…For this reason, open repair requiring only one month of dual-antiplatelet therapy—P2Y 12 -ADP receptor antagonist (e.g. clopidogrel, ticagrelor) plus aspirin—will always have a role and may be more suitable for some patients [23].…”

Endovascular Repair of a Penetrating Axillary Artery Injury

“…The Endovascular Skills for Trauma and Resuscitative Surgery Working Group reported that endovascular procedures were successful in 96.9% of patients. [4] Branco et al [5] analyzed the positive impact of endovascular therapy in patients with sustained axillosubclavian arterial injuries and found a statistically significant difference in mortality: 5.6% for endovascular repair versus 27.8% for open repair. These authors also showed that patients treated with endovascular repair tended to have lower rates of complications, particularly surgical-site infections and sepsis.…”

“…We demonstrated that proper adoption of endovascular procedures can lead to a durable repair of a brachial artery injury in young patients. Overall complication rates in these procedures can be high [4] ; therefore, long-term management care is needed after these procedures. We expect significant improvements for the treatment of vascular injuries as proper management and more endovascular procedures are adopted.…”

“…Surgical management is an extensive strategy and requires aggressive dissection with a high risk of injury to surrounding structures. Endovascular management has been found to reduce the operative time, cost, and exposure to general anesthesia, local dissection, and potential injury to other structures [4] . Here, we report a successful endovascular management of a vascular injury in the upper limb.…”