Penetrating injuries of the subclavian artery

Lin, Peter H.; Koffron, Alan J.; Guske, Paul J.; Lujan, Henry; Heilizer, Timothy J.; Yario, Robert F; Tatooles, Constantine J.

doi:10.1016/s0002-9610(03)00070-9

Cited by 73 publications

(49 citation statements)

References 18 publications

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“…(3,4) However, surgical approaches are technically complex in an already debilitated patient and consequently entail considerable morbidity and mortality rates. (3,4,12) In this case, the patient visited our hospital with hypovolemic shock due to cervical os laceration during vaginal delivery. Rapid volume resuscitation was critical.…”

Section: Discussionmentioning

confidence: 96%

Urgent Endovascular Stent Graft Placement for Iatrogenic Subclavian Artery Rupture

Kang

Bae

Chung

et al. 2015

Journal of Trauma and Injury

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Central venous cannulation is one of the most commonly performed procedures for critically ill patients in the emergency room. Serious complications like a rupture of subclavian artery may occur during this procedure. We report a case of successful stent graft deployment for iatrogenic ruptured subclavian artery after attempted right subclavian vein catheterization in a 31 year-old female patient with hypovolemic shock due to cervical os laceration during vaginal delivery. [ J Trauma Inj 2015; 28: 83-86 ]

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Section: Discussionmentioning

confidence: 96%

Urgent Endovascular Stent Graft Placement for Iatrogenic Subclavian Artery Rupture

Kang

Bae

Chung

et al. 2015

Journal of Trauma and Injury

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“…In the study of penetrating subclavian artery injuries by Lin P.H. et al [1], the commonest associated injury was that of the subclavian vein 44%, followed by the brachial plexus 31%, latter accounts for the majority of long term morbidity.…”

Section: Discussionmentioning

confidence: 99%

“…Penetrating vascular injuries are associated with high mortality rates, with a significant percentage of patients dying before reaching the hospital [1] [2]. Moreover, gunshot vascular injuries may be associated with bone, nerve and muscu-Surgical Science lotendinous damage and treating these complex injuries usually requires a multidisciplinary team approach [3].…”

Section: Introductionmentioning

confidence: 99%

Pellet Embolization after Subclavian Artery Injury: A Case Report

Černevičiūtė¹,

Sahebally²,

Mourad³

et al. 2017

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Acute upper limb ischemia caused by a gunshot penetrating vascular injury and subsequent arterial embolization by foreign body is uncommon in everyday practice and is associated with high morbidity/mortality rates, especially with emergency surgery. We present the case of a 72-year old male who attempted suicide using a gun. A gunshot entry wound was evident in the right upper chest region with no pellet exit wound. Radial pulses were palpable bilaterally. Angiography revealed right subclavian artery direct injury and pellet embolization to the brachial artery. The patient underwent open surgery, with reversed saphenous vein interposition graft to replace subclavian artery defect. A pellet was removed by a separate arteriotomy in the brachial artery. Associated injuries were clavicle-comminuted fracture and subclavian vein injury. The patient remained well 5 months later with no reported complications. In conclusions, the presence of radial pulses alone on clinical exam cannot rule out the presence of a significant vascular injury.

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“…In a study combining both prospective and retrospective reviews, Demetriades [9] reported that isolated subclavian vein injuries were present in 44% of the patients, isolated subclavian artery involvement in 39%, and combined injuries in approximately 17% of the cases. On the other hand, Lin et al [23] reported that 24 of 54 patients presenting with subclavian artery injuries also sustained associated venous injuries.…”

Section: Incidencementioning

confidence: 99%

“…Of these, only two resulted from a nonpenetrating injury. Over a period of 10 years, a retrospective review by Lin [23] identified 54 patients with penetrating subclavian artery injuries, of which 85% resulted from gunshot wounds. Conversely, McKinley [24] reported that 82% of subclavian artery injuries resulted from stab wounds and 10% from low-velocity gunshot wounds, a trend not appreciated in US regional trauma centers (see Table 2).…”

Section: Incidencementioning

confidence: 99%