CT Angiogram and Endovascular Stent Graft for an Axillary Artery Gunshot Wound

Testerman, George M.; Gonzalez, G D; Dale, Elizabeth

doi:10.1097/smj.0b013e31817dfd44

Cited by 10 publications

(7 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, surgical exploration is necessary after the development of pulsatile hematoma, hemorrhage, thrill, or ischemia. [4] Traumatic vascular injuries can result in serious delayed complications, and these may occur even years later if they are not identified. Patients with traumatic injuries must be closely monitored, and arteriography is recommended to evaluate their condition with regard to a potential vascular injury, even if overt clinical signs or symptoms of vascular injury are absent.…”

Section: Discussionmentioning

confidence: 99%

“…[1] The placement of occluding balloons to control bleeding, the initial treatment method for vascular surgery, has been widely reported. [4] Additionally, the recent development and application of endovascular technology and therapy has led to the use of stent grafts in the management of arterial injuries. [5] Currently, stent graft implantation or coil embolization are considered to be the optimal methods of treatment for pseudoaneurysms or uncontrollable bleeding.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of early endovascular intervention on the outcome of traumatic vascular injuries

Temizkan¹

2013

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

Bu çalışmada erken dönemde anjiyografik olarak tanı konulan travmatik vasküler yaralanmaların endovasküler yöntemlerle tedavisine ilişkin orta dönem sonuçlarımız bildirildi. Ça lış ma pla nı: Ocak 2007-Aralık 2010 tarihleri arasında ateşli silah yaralanması ya da şüpheli penetran/künt travma nedeni ile kliniğimize başvuran ve vasküler yaralanma şüphesi bulunan hastalar erken dönemde incelendi. Anjiyografik değerlendirme sonrası 10 hastada vasküler yaralanma nedeni ile endovasküler tedavi uygulandı. Vasküler yaralanmaların nedeni üç hastada penetran yaralanma, altı hastada ateşli silah yaralanması, bir bir hastada ise künt travma idi. Hastaların altısında yalancı anevrizma (ikisinde arteriyovenöz fistül eşlik ediyordu), üçünde rüptür ve birinde aksiller arter-bronşiyal fistül mevcuttu. Bul gu lar: Arteriyel rüptür bulunan olgularda koil embolizasyonu uygulandı. Yalancı anevrizma ve arteriyovenöz ya da arteriyobronşiyal fistül bulunan olgularda stent greft implantasyonu uygulandı. Bütün işlemler lokal anestezi altında gerçekleştirildi. Vasküler yaralanmaya bağlı semptomlar ameliyat sonrası üçüncü günde kayboldu ve hastalar 5. günde taburcu edildi. Bütün hastalar ameliyat sonrası 3. ve 12. ayda renkli Doppler ultrasonografi ile incelendi. Takiplerinde ekstravazasyon, stenoz ve iskemi bulgusuna rastlanmadı. So nuç: Travma ya da ateşli silah yaralanması sonrası gözden kaçan vasküler yaralanmalar, uzun dönemde ekstremite disfonksiyonuna yol açabilir. Vasküler yaralanma şüphesi bulunan hastaların anjiyografik olarak değerlendirilmesi erken dönemde tedavi şansı sağlar. Anjiyografik değerlendirmede vasküler yaralanma tespit edilen hastaların aynı işlem esnasında endovasküler yöntemlerle tedavisi; daha az kan transfüzyonu, daha kısa yoğun bakım kalış süresi ve düşük mortalite ile ilişkilidir. Anah tar söz cük ler: Endovasküler işlem; travma; vasküler hasar. Background: In this study, we reported mid-term results of early endovascular treatment modalities for traumatic vascular injuries confirmed by angiography. Methods: Between January 2007 and December 2010, patients who were admitted to our clinic with gunshot injury or suspected penetrating/blunt injuries and suspected vascular injury were examined. After angiographic examination, 10 patients underwent endovascular treatment due to vascular injury. Vascular injuries were due to penetrating injury in three patients, gunshot injury in six patients and blunt trauma in one patient. Six patients presented with a pseudoaneurysm (two of which associated with arteriovenous fistula), three with rupture and one with axillary artery-to-bronchial fistula. Results: Coil embolization was performed in patients with arterial rupture. Stent graft implantation was performed in patients with pseudoaneurysm formation, arteriovenous or artery-to-bronchial fistula. All procedures were performed under local anesthesia. Symptoms related to vascular injury disappeared within postoperative three days and they were discharged on the postoperative fifth day. All patients were reexamined by color D...

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The effect of early endovascular intervention on the outcome of traumatic vascular injuries

Temizkan¹

2013

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

show abstract

“…Basilic vein has not been commonly used for repair of vascular injuries of the upper limb although it is more commonly used for creation of arteriovenous fistula for dialysis access. There is increasing trend towards endovascular management of vascular injuries, and gunshot injuries of the axillary artery have also been managed using stent graft [10] in stable patients.…”

Section: Introductionmentioning

confidence: 99%

Axillary Artery Injury Caused by Fracture of Humerus Neck and Its Repair Using Basilic Vein Graft

Goyal

Sharma

Kalia

et al. 2014

Case Reports in Surgery

View full text Add to dashboard Cite

Proximal humerus fractures are rarely associated with axillary artery injury. We present a case of a 59-year-old female who had fracture neck humerus along with absent pulsations in the left upper limb after blunt trauma. Computed tomographic angiogram revealed complete occlusion of the left axillary artery. Urgent surgical intervention was done in the form of fixation of fracture followed by exploration and repair of axillary artery. Axillary artery was contused and totally occluded by fractured edge of humerus. Repair of the axillary artery was done using basilic vein graft harvested through the same incision. Postprocedure pulsations were present in the upper limb.

show abstract

“…their intrathoracic location, present the greatest risk 3,8 . Penetrating injuries of the subclavian artery are traditionally treated by standard surgical procedures.…”

Section: Conflicts Of Interest: Nonementioning

confidence: 99%

“…Endovascular treatment is appropriate for the following anatomical conditions: intimal lesions, dissections, pseudoaneurysms, arteriovenous fistulas and focal arterial ruptures. The most common contraindications are long segmental injuries, complete transections and the absence of an adequate proximal fixation zone 8 . For some authors, haemodynamic instability is a contraindication for endovascular treatment 14 .…”

Section: Conflicts Of Interest: Nonementioning

confidence: 99%

Endovascular repair of the left subclavian artery after gunshot wound: an alternative to surgical treatment

et al. 2012

View full text Add to dashboard Cite

Penetrating injuries of the subclavian artery are associated with a high morbidity and mortality rate. Endovascular treatment with covered stents (stent grafts) has emerged as an eff ective alternative to surgery, but this new technique is not exempt from complications. We report the case of a male gunshot victim, treated by a covered stent for haemorrhagic shock due to partial subclavian rupture.

show abstract

CT Angiogram and Endovascular Stent Graft for an Axillary Artery Gunshot Wound

Cited by 10 publications

References 8 publications

The effect of early endovascular intervention on the outcome of traumatic vascular injuries

The effect of early endovascular intervention on the outcome of traumatic vascular injuries

Axillary Artery Injury Caused by Fracture of Humerus Neck and Its Repair Using Basilic Vein Graft

Endovascular repair of the left subclavian artery after gunshot wound: an alternative to surgical treatment

Contact Info

Product

Resources

About