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.

Introduction. Infected aortoiliac aneurysms are rare, representing only 1% to 2% of all aortic aneurysms; we present a case of infected suprarenal aortic aneurysm with a nearly occluded celiac artery and superior mesenteric artery treated using an endovascular technique to preserve collateral in the retroperitoneal space from the inferior mesenteric artery for supplying visceral organs.

A 53-year-old male pedestrian was hit by a car and arrived at our hospital with a blunt abdominal injury and hemorrhagic shock. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) was performed in a timely fashion using the open groin technique in the emergency room. The procedure resulted in rapid improvement of hemodynamic status while the bleeding source was controlled. Recently, REBOA is a proper adjunctive procedure in major non-compressible torso hemorrhage patients. The procedure requires a portable X-ray or fluoroscopic machine in the ER to confirm the balloon's position. This method has likely limited the use of REBOA in developing countries. The procedure with open groin technique, using anatomical landmarks and physiologic change to confirm the position of the balloon, has been developed to address these concerns. Here we report on the treatment's success with this technique and believe that it can benefit trauma patient care.

Venous thromboembolism has become a major concern due to its association with reduced survival and considerable economic burden. The purpose of this study is to evaluate the incidence, risk factors, and survival in surgical patients. This was a retrospective study conducted at the Department of Surgery in Khon Kaen University Hospital (Thailand). All patients who were admitted to the surgical unit and diagnosed as having pulmonary embolism between 2007 and 2015 were consecutively enrolled. There were 85 surgical patients diagnosed with pulmonary embolism for over 10 years. The most common presentation is tachycardia. All patients were assessed with Caprini score; 95% has high risk but none of them have received VTE prophylaxis. The median survival time is only 50 days after diagnosing pulmonary embolism. Our study demonstrates that the reported incidence of pulmonary embolism is increasing and that PE is associated with higher mortality; therefore, surgical patients should receive VTE prophylaxis when Caprini scoring was high.

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