| Analysis of blunt and penetrating injury of the innominate and subclavian arteries. | |
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MedLine Citation:
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PMID: 8304648 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Injury to the innominate or subclavian artery is an uncommon but difficult management problem. Review of trauma admissions from August 1983 to August 1992 revealed 21 patients who sustained injury to the innominate or subclavian artery. Eight patients sustained blunt trauma, while 13 patients sustained penetrating injuries. The mechanism of injury was variable, and associated injuries were common in both blunt and penetrating trauma. Injuries involved the right innominate or subclavian artery in 10 patients and the left subclavian artery in 11 patients. Twenty patients were managed operatively. Primary repair was preferred for penetrating injuries, whereas a bypass graft was more common for blunt injuries (P = 0.41). Patients with penetrating injury were more unstable at presentation (admission systolic blood pressure 73 mm Hg vs 119 mm Hg, P = 0.006; preoperative evaluation time 66 min vs 319 min, P = 0.002) and required more blood transfusions (5 units vs 26 units, P = 0.007) than patients with blunt injuries. Mortality for the entire series was 24 per cent (0% blunt vs 38% penetrating, P = 0.047). Hospital days (28 vs 48) and ICU days (8 vs 14) were longer for survivors of penetrating injuries (P = NS). Complications were common in both groups. Innominate/subclavian artery injury remains a significant cause of mortality and morbidity. |
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Authors:
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S J Hoff; M K Reilly; W H Merrill; J Stewart; W H Frist; J A Morris |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The American surgeon Volume: 60 ISSN: 0003-1348 ISO Abbreviation: Am Surg Publication Date: 1994 Feb |
Date Detail:
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Created Date: 1994-03-07 Completed Date: 1994-03-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370522 Medline TA: Am Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 151-4 Citation Subset: IM |
Affiliation:
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Department of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Brachiocephalic Trunk / injuries*, surgery Child Female Humans Male Middle Aged Postoperative Complications Subclavian Artery / injuries*, surgery Wounds, Nonpenetrating* / diagnosis, mortality, surgery Wounds, Penetrating* / diagnosis, mortality, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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