Open Treatment of Blunt Injuries of Supra-Aortic Branches: Case Series

Sladojević, Miloš; Marković, Miroslav; Ilić, Nikola; Pejkić, Siniša; Banzić, Igor; Djoric, Predrag; Končar, Igor; Tomić, Ivan; Davidović, Lazar

doi:10.1016/j.avsg.2015.07.049

Annals of Vascular Surgery

2016

DOI: 10.1016/j.avsg.2015.07.049

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Open Treatment of Blunt Injuries of Supra-Aortic Branches: Case Series

Miloš Sladojević¹,

Miroslav Marković

Nikola Ilić

et al.

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Cited by 2 publications

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“…Traumatic injury to the aortic arch and great vessels has traditionally required open operative repair. 1 Recent advancements in endovascular techniques and devices have allowed less invasive repairs to be performed. Several authors have shown hybrid procedures have a lower morbidity and mortality in patients requiring supra-aortic intervention, especially in patients who would be poor candidates for open repair.…”

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Endovascular repair of an innominate artery pseudoaneurysm using the Valiant Mona LSA branched graft device

Sibille

Harding

Ballast

et al. 2017

Journal of Vascular Surgery Cases, Innovations and Techniques

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A 60-year-old woman involved in a motor vehicle collision presented with a traumatic pseudoaneurysm of the innominate artery origin in addition to multiple concomitant injuries. She was classified as a high-risk candidate for open repair. An experimental thoracic branched graft device was used for coverage of the injury with the addition of a right carotid-to-left carotid-to-left subclavian artery bypass. Follow-up imaging showed resolution of the pseudoaneurysm and patency of her bypass grafts. This is the first described use of the Mona LSA Branch Thoracic Stent Graft System (Medtronic, Minneapolis, Minn) in the innominate artery.

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mentioning

confidence: 99%

Endovascular repair of an innominate artery pseudoaneurysm using the Valiant Mona LSA branched graft device

Sibille

Harding

Ballast

et al. 2017

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

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Evaluation of Subclavian, Thoracic Aorta, and Innominate Artery Injuries in Blunt Trauma Mechanisms: A Systematic Review of Case Reports and Case Series

Seyoum¹,

Kejela²

2019

CSRC

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Background: Blunt thoracic arterial injuries are among the rare causes for presentation at trauma centers. Most of the literature on these injuries is in the form of case reports and case series, with no significantly consolidated data available. Methods: A systematic review of English language case reports and case series from 2000 to 2019 was carried out using the PubMed and Google Scholar search engines. Results: The mean patient ages were 35.9, 36.4, and 44.3 years for thoracic aorta, innominate, and subclavian artery injuries, respectively. Of the innominate artery injury patients, 89.7% were male. Motor vehicle-related injuries contributed to 50.9% of thoracic aortic injuries. A blood pressure/pulse deficit was recorded in 34.8% and 20.7% of patients with subclavian and innominate artery injuries, respectively, and chest pain and hemodynamic instability were found in 23.5% and 20.5% of aortic injury patients, respectively. Clavicular fracture was the most common associated finding in subclavian artery injury patients at 42%. Computed tomography was performed in 21.7%, 47.1%, and 27.6% of patients with subclavian artery, thoracic aorta, and innominate artery injuries, respectively. An endovascular intervention was performed in 44.1% of patients with subclavian artery injuries. Conclusion: Injury to the subclavian artery is relatively common among the older population. Blood pressure or pulse discrepancies could point to either subclavian or innominate artery injury. An endovascular intervention can be considered in all patients but must be individualized based on patient and facility factors.

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Open Treatment of Blunt Injuries of Supra-Aortic Branches: Case Series

Cited by 2 publications

References 22 publications

Endovascular repair of an innominate artery pseudoaneurysm using the Valiant Mona LSA branched graft device

Endovascular repair of an innominate artery pseudoaneurysm using the Valiant Mona LSA branched graft device

Evaluation of Subclavian, Thoracic Aorta, and Innominate Artery Injuries in Blunt Trauma Mechanisms: A Systematic Review of Case Reports and Case Series

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