Urgent endovascular treatment of iatrogenic subclavian artery rupture: report of three cases.

Leonardou, Polytimi; Pappas, Paris

doi:10.5505/tjtes.2012.50374

Cited by 5 publications

(3 citation statements)

References 13 publications

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“…Endovascular management of iatrogenic injury to the subclavian artery is a safe and effective alternative to open surgery. 16 , 17 …”

Section: Discussionmentioning

confidence: 99%

Treatment Outcome of Traumatic Subclavian Artery Injuries

Tanmit¹,

Angkasith²,

Teeratakulpisarn³

et al. 2021

VHRM

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Background Traumatic subclavian artery injuries are associated with high morbidity and mortality. Thoracic cage and clavicle provide a well protection of the underlying subclavian vessels and nerves and also cause a very limited operation space during open surgery. The endovascular modality is less invasive and alternative to conventional open surgical reconstruction. Purpose The purpose of this study was to analyze the different therapeutic effects on limb salvage. Methods A retrospective review of patients who presented with blunt or penetrating injuries to the subclavian arteries between March 2012 and March 2021. Results Endovascular and open repairs were both effective for traumatic subclavian artery injury. There was no statistical difference in the limb salvage, mortality, procedure-related complication, reintervention rate and in-hospital medical complications. Intraoperative blood loss, red blood cell transfusion requirement and length of hospital stay were significantly lower in the endovascular intervention group. Conclusion Endovascular treatment represents an attractive alternative to the traditional surgical approach for the treatment of traumatic injuries in the subclavian.

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“…Endovascular management of iatrogenic injury to the subclavian artery is a safe and effective alternative to open surgery. 16 , 17 …”

Section: Discussionmentioning

confidence: 99%

Treatment Outcome of Traumatic Subclavian Artery Injuries

Tanmit¹,

Angkasith²,

Teeratakulpisarn³

et al. 2021

VHRM

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“…Vascular access is one of these problems. The brachial artery is mostly used in adult patients, as it provides a direct, shorter, and less tortuous approach [ 11 ]. In our patient after DUS evaluation we have chosen femoral retrograde approach rather than RSA because of the need for the use of 7F vascular sheath in order to introduce stent graft.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Management of Right Subclavian Artery Pseudoaneurysm due to War Injury in Adolescent Patient

Saydam

Şerefli

Atay

et al. 2017

Case Reports in Vascular Medicine

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Today there is a widespread use of endovascular treatment (EVT) for traumatic vascular injuries in adults, but there is lack of evidence of its use in adolescent patients with vascular injuries. With this case, we present successful EVT of 14-year-old adolescent with a right subclavian artery pseudoaneurysm (SAP) due to war injury. SAP was successfully excluded with deployment of 6 × 50 mm flexible, self-expanding covered nitinol stent graft (The GORE® VIABAHN® Endoprosthesis (W.L. Gore & Associates, Flagstaff, AZ)). Patient was discharged from hospital 2 days after the procedure with dual antiplatelet therapy (clopidogrel and aspirin). 3 months after discharge control DUS showed patent stent graft without any residual lesions. As a result, EVT is an alternative approach to treatment of SAP. It is safe, effective, and less invasive therapy for SAP in adults as well as in adolescents. We aim to contribute to the literature with this first case report.

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“…Künt toraks travmalarında genellikle aortun istmus olarak adlandırılan; sol subclavian arterin distali ile üçüncü interkostal arterin proksimali arasında kalan bölgesinde yırtılma oluşur (1). Subklavyen arter yaralanmaları da çoğunlukla yüksek enerjili künt travmaya bağlı veya iatrojenik olarak görülürken, spontan subklavyen arter rüptürü çok daha nadir rastlanan bir klinik tablodur (2,3). Bu yazıda çok nadir görülen travmatik ya da iyatrojenik olmayan, hapşırma ile tetiklenen spontan subklavyen arter transeksiyonu olan bir olguyu tartışmayı amaçladık.…”

Section: Introductionunclassified

Spontaneous Subclavian Artery Transection after Sneezing

Sezgin¹,

Aksel²,

Akbal³

et al. 2015

JAEMCR

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Introduction: Spontaneous subclavian artery injuries are extremely rare vascular emergencies. We aimed to present a case with subclavian artery transection after sneezing.Case Report: An 18-year-old male presented to the emergency department with the complaint of right shoulder pain after sneezing. His vital signs and physical examination were all normal. On the chest radiography, the mediastinal width was 7 cm. He was discharged. He presented to the emergency department after 5 hours from discharge with complaints of chest pain and dyspnea. He was hypotensive and tachycardic. Brachial and radial pulses were not palpable. A massive hemothorax was detected. Tube thoracostomy was performed, and his hemodynamic parameters deteriorated rapidly. Urgent thoracotomy was performed, and cardiac arrest occurred during the hemorrhage control. In the postmortem exploration, a complete subclavian artery transection was confirmed at the outlet of the arcus aorta. Conclusion:Sneezing is a minor trauma that precipitates spontaneous artery dissection. It was known that a mediastinal width of over 6 cm is associated with increased mortality. An advanced radiological assessment will be useful for patients who present to the emergency department with complaints of chest, back, shoulder, or arm pain after a sudden movement and have a mediastinal width of over 6 cm.

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Urgent endovascular treatment of iatrogenic subclavian artery rupture: report of three cases.

Abstract: Case 1-Severe arterial bleeding occurred in an 82-year-old female patient during attempted right subclavian vein catheterization in order to place a hemo-

Cited by 5 publications

References 13 publications

Treatment Outcome of Traumatic Subclavian Artery Injuries

Treatment Outcome of Traumatic Subclavian Artery Injuries

Endovascular Management of Right Subclavian Artery Pseudoaneurysm due to War Injury in Adolescent Patient

Spontaneous Subclavian Artery Transection after Sneezing

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