Endovascular repair of traumatic injuries of the subclavian and axillary arteries

Castelli, Patrizio; Caronno, Roberto; Piffaretti, Gabriele; Tozzi, Matteo; Laganà, Domenico; Carrafiello, G.; Cuffari, Salvatore

doi:10.1016/j.injury.2004.12.046

Cited by 84 publications

(65 citation statements)

References 9 publications

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“…Recent endovascular techniques have been used successfully against vascular injury [4][5][6][7][8][9][10][11] . Some endovascular procedures for injuries or aneurysms of the subclavian artery have been reported.…”

Section: Discussionmentioning

confidence: 99%

A Case of Subclavian Artery Injury Due to Blunt Trauma Treated Successfully by Endovascular Repair

Nishina

Morita

Masuda

et al. 2012

JJCS

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Subclavian artery injury is rare, but can cause both limb-and life-threatening conditions by rupture into the thoracic cavity. We report the case of a 59-yearold man with subclavian artery injury due to blunt trauma that was successfully treated by endovascular repair. Computed tomography showed a small aneurysm in the left subclavian artery close to the fractured left clavicle. We initially attempted conservative treatment because the aneurysm was small and signs of ischemia were absent. However, the aneurysm continued to increase in size and showed a risk of rupture into the thoracic cavity, which would have been life-threatening. A covered stent was placed 2 weeks after injury following a rapid increase in size of the aneurysm with relapsed pain. The aneurysm disappeared following stent placement and patency of the subclavian artery was preserved. Endovascular repair should be considered in the early phase after subclavian artery injury, even if the lesion is small.

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Section: Discussionmentioning

confidence: 99%

A Case of Subclavian Artery Injury Due to Blunt Trauma Treated Successfully by Endovascular Repair

Nishina

Morita

Masuda

et al. 2012

JJCS

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“…Increasingly CT scanning is being utilized for diagnosis of thoraco-abdominal vascular injury. Intravascular interventions such as covered stents have been increasingly utilized for treatment of thoracic, subclavian and iliac arterial injuries, structures which have classically been difficult to expose and treat surgically (Asensio, et al, 2001a;Boufi, et al, 2011;Carrick, et al, 2010;Castelli, et al, 2005;Cestero, et al, 2009;Demetriades, et al, 2008a;Demetriades, et al, 2008b;Starnes & Arthurs. 2006).…”

Section: Thoraco-abdominal Vascular Injurymentioning

confidence: 99%

“…In rare instances patients present in stable condition with soft signs of injury, or are asymptomatic, in these cases CT angiography can be very helpful in detecting injuries, for preoperative planning, and in some cases determining if endovascular therapy is feasible. Two studies of endovascular therapy report utilization of CTA angiography in planning stent-graft deployment, both report successful treatment of lesions, based on CT findings, but are small, and do not describe sensitivity or specificity (Castelli, et al, 2005;Hilfiker, et al, 2000). There is little to no evidence in the literature specifically studying the use of CTA angiography in subclavian artery injuries, however, several large series of CT in proximal extremity injury including the subclavian and axillary artery have found excellent sensitivity and specificity.…”

Section: Subclavian Arterymentioning

confidence: 99%

“…Because of this alternatives to open surgical repair are very attractive, and there is growing experience with covered stents for treatment of subclavian artery injuries (Figure 8, 9a, 9b, 9c). Several case series have been reported revealing mortality of 0-33%, technical success rates ranging from 67-100%, primary patency rates of 83-100%, short term complications occurring in 0-22% of patients, and long term complications ranging from 0-32% (Carrick, et al, 2010;Castelli, et al, 2005;Cohen, et al, 2008;Danetz, et al, 2005;du Toit, et al, 2008;Hilfiker, et al, 2000). Short term complications most often include access site bleeding/hematoma, infection, pseudoaneurysm and fistula.…”

Section: Subclavianmentioning

confidence: 99%

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Vascular Trauma: New Directions in Screening, Diagnosis and Management

Kobayashi¹,

Coimbra²

2012

Vascular Surgery

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“…Some recent authors advocate an endovascular treatment for selected patients. 13 In most of the cases with emergency, venous traumas are mostly primarily ligated.…”

Section: Commentmentioning

confidence: 99%

Incidence of postoperative acute renal failure among violence-related cardiovascular trauma patients: a review of our experience in 117 cases

et al. 2010

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Background: The purpose of this retrospective study was to determine the incidence of renal failure and hemodialysis (HD) in postoperative period after cardiovascular surgery associated with trauma. Methods: One hundred and seventeen cases of violence-related cardiovascular trauma patients had emergent surgery between 1996 and 2009. Cases were reviewed in three main groups: Cardiac trauma in 11 patients (Group A), vascular trauma in 78 patients (Group B), and cardiovascular trauma in 28 patients (Group C). Postoperative incidence of HD requirements with acute renal failure (ARF) was investigated in these groups of patients postoperatively. Results: Multiorgan deficiency developed in 10 patients from Group A, in 45 patients from Group B, and in 26 patients from Group C. Overall mortality was 81 cases in 117 patients. Total hospitalization periods were 21 ± 2, 17 ± 3, and 27 ± 1 days for Group A, Group B, and Group C, respectively. HD administrations were indicated in 3 patients in Group A, 41 patients in Group B, and 9 patients in Group C. No statistically significant difference presented in any study parameter between groups. Conclusions: Cardiovascular trauma is a common reason for emergent cardiovascular surgery. Postoperative renal failure occurs among these patients in a wide percentage. We strongly advocate a close and detailed follow-up of renal functions in these patients during the hospitalization period and immediate HD at indication.

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Endovascular repair of traumatic injuries of the subclavian and axillary arteries

Cited by 84 publications

References 9 publications

A Case of Subclavian Artery Injury Due to Blunt Trauma Treated Successfully by Endovascular Repair

A Case of Subclavian Artery Injury Due to Blunt Trauma Treated Successfully by Endovascular Repair

Vascular Trauma: New Directions in Screening, Diagnosis and Management

Incidence of postoperative acute renal failure among violence-related cardiovascular trauma patients: a review of our experience in 117 cases

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