Contemporary management of subclavian and axillary artery injuries—A Western Trauma Association multicenter review

Abstract

Prognostic/epidemiologic, level IV.

Endovascular Repair of Axillary Artery Transection with a Stent Graft following Blunt Trauma

“…In fact, endovascular therapy for the treatment of pseudoaneurysms with stent grafts has already been described as a viable alternative in that setting. [7,8] Our case expands the possible role for stent grafts in the periphery.…”

Subclavian artery avulsion following blunt trauma: A case report and literature review

“…Of all patients with a blunt subclavian artery injury, only about 15% arrive to the hospital alive [5,7]. For the group arriving alive, in-hospital mortality rates are approximately 30% [8]. Morbidity and mortality in these patients is also dependent on additional injuries, which are common.…”

“…Morbidity and mortality in these patients is also dependent on additional injuries, which are common. In a multicenter, retrospective review by the Western Trauma Association, 13% of patients also had a subclavian vein injury, 4% of had an associated vertebral artery injury, and 1% of patients had an associated carotid artery injury [8]. Cox et al reported that complications related to subclavian artery injuries in their series was dependent on hemodynamic status at the time of presentation.…”

Tratamento endovascular de fístula traumática de vasos subclávios: relato de caso

“…3 Incidence ranges from 2.3% to 3.9%. [4][5][6] In a review of 262 cases of traumatic fistulas, Rich et al 6 found one case of fistula of subclavian vessels. 6 Open surgery to treat traumatic lesions of the subclavian vessels can be a challenge because of their proximity to highly important neurovascular structures, in addition to presence of edema, hematoma, and anatomic changes caused by the trauma.…”

“…9 Morbidity and mortality are in the range of 5 to 10% among patients treated using endovascular methods. 3,5 Endovascular surgery is possible in about 50% of cases of traumatic subclavian artery injury. [10][11][12] Endovascular treatment can be used for intimal injuries, dissection, fistulas, and pseudoaneurysms.…”