Endovascular management of a non-penetrating traumatic axillary artery occlusion

Kember, Peter; Wood, R. F.; Gaines, Peter A.

doi:10.1016/s1078-5884(97)80198-0

Cited by 6 publications

(2 citation statements)

References 6 publications

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“…Moreover, nonsurgical, ultrasound-guided management of chronic traumatic pseudoaneurysm of the axillary artery by compression obliteration has recently been proposed (although this may not be appropriate in acute situation) [40,41]. Advantages of stent-graft therapy over surgical treatment for arterial trauma in this location includes the ease of percutaneous device insertion, reduced blood loss, absence of potential neurologic damage, and decreased hospitalization time [21,[42][43][44][45][46][47][48]. Nevertheless, while endovascular treatment may produce optimal radiologic and clinical vascular results, it does not address the possible need for hematoma evacuation and therefore the risk of delayed nerve damage and infection.…”

Section: Treatmentmentioning

confidence: 99%

Axillary Artery and Brachial Plexus Injuries due to Anterior Shoulder Dislocation

et al. 2005

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European Journal of Trauma Ab stractAxillary artery injury after shoulder dislocation, without an associated bone fracture is very rare. Vascular injuries associated with brachial plexus lesions range in incidence from 27% to 44%. Management of axillary artery injury is mainly surgical and depends on the extent and the site of injury. The treatment of associated nerve injuries is more controversial. There is a scarcity of literature surrounding the association of injury to the brachial plexus, axillary artery and to the shoulder. The authors report a case of axillary artery associated with a delayed brachial plexus palsy and review the literature with the aim to identify the clinical pattern of this condition and to evaluate the outcome of neuropraxia after blunt axillary artery injury associated with anterior shoulder dislocation.

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Section: Treatmentmentioning

confidence: 99%

Axillary Artery and Brachial Plexus Injuries due to Anterior Shoulder Dislocation

et al. 2005

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“…There are numerous case reports and small series of patients with subclavian, axillary, brachiocephalic, and femoral injuries successfully treated using covered stents (vein, polytetrafluoroethylene, polyester), Corvita endoluminal graft, and the Wallgraft. [31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46] It should be stressed these are off-label uses with limited control or follow-up, and that long-term outcomes are quite important since this is a young patient population. In a single large series, 26 endovascular covered stents were used to repair 16 pseudoaneurysms, 9 arteriovenous fistulas, and 1 combined lesion after femoral arterial puncture.…”

Section: Stents and Stent Graftsmentioning

confidence: 99%

Angiography and Endovascular Intervention for Vascular Trauma to the Extremities

Murthy¹,

Hastings

Richard

et al. 2003

Semin intervent Radiol

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Vascular trauma to the extremities is less frequently lethal and more commonly penetrating than thoracoabdominal trauma. Arteriography is indispensable in the evaluation of stable patients with hard physical findings or a positive finding on one of a growing variety of noninvasive diagnostic modalities. However, it is not indicated in unstable patients with obvious vascular injury and it is controversial when used in patients with soft findings or simply a penetrating injury in close proximity to a major vascular structure. Arteriography provides access for an increasing array of endovascular treatment options. Embolization can effectively halt bleeding from small-and medium-sized arterial branches where preservation of flow is not crucial. Covered stents and stent grafts can successfully treat lesions in larger arteries where flow must be preserved, but these are offlabel uses where the short-term benefit of avoiding difficult or hazardous surgical access must be weighed against disappointing long-term patency rates, especially when a young patient is involved. Intra-arterial vasodilators can be very useful in patients with critical ischemia due to arterial spasm and local low flow states resulting from severe extremity injuries.Objectives: Upon completion of this article, the reader should understand (1) the natural history of arterial injuries in the extremities, (2) the role of noninvasive evaluation, and (3) the indications for arteriography and endovascular treatment using embolotherapy and endoprostheses. Accreditation: Tufts University School of Medicine (TUSM) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. TUSM takes responsibility for the content, quality, and scientific integrity of this CME activity. Credit: TUSM designates this educational activity for a maximum of 1 Category 1 credit toward the AMA Physicians Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity.

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Late presentation of axillary arterial ischemia following a gunshot wound: Case report

Jalal¹,

Ghoul²,

Aghoutane³

et al. 2019

JMV-Journal de Médecine Vasculaire

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Endovascular management of a non-penetrating traumatic axillary artery occlusion

Cited by 6 publications

References 6 publications

Axillary Artery and Brachial Plexus Injuries due to Anterior Shoulder Dislocation

Axillary Artery and Brachial Plexus Injuries due to Anterior Shoulder Dislocation

Angiography and Endovascular Intervention for Vascular Trauma to the Extremities

Late presentation of axillary arterial ischemia following a gunshot wound: Case report

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