Document Detail


Urgent endovascular stent-graft placement for traumatic penetrating subclavian artery injuries.
MedLine Citation:
PMID:  18649895     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Penetrating injuries may infrequently cause pseudoaneurysms, lacerations and arteriovenous fistulas involving the subclavian artery. These injuries present with life-threatening bleedings, associated regional injuries and critical limb ischemia and although surgery has been considered the treatment of choice, subclavian injuries pose a real surgical challenge. We prospectively examined data of six patients presenting with penetrating subclavian artery injuries that were treated by urgent endovascular stent-graft placements. All stent-grafts were deployed successfully achieving complete exclusion of the pseudoaneurysm, control of bleeding and reconstruction of the injured artery. No procedural complications, stent thrombosis or stent infections occurred during hospitalization. One patient developed stenosis at 7 months, which required angioplasty. The series mean clinical and ultrasound-CTA follow-up is 38+/-19.7 months (range 11-60 months) and 28+/-19.1 months (range 6-58 months), respectively. This series shows the feasibility of endovascular repair by means of stent-grafts for selected patients with acute penetrating injuries of the subclavian arteries. This approach proved to be safe and effective in restoring the arterial lumen and patency, excluding the pseudoaneurysms and controlling the bleeding caused by subclavian lacerations. Mid-term follow-up on stent-graft patency rates are encouraging.
Authors:
José E Cohen; Gustavo Rajz; John M Gomori; Anthony Verstandig; Yacov Berlatzky; Haim Anner; Savvas Grigoriadis; Pedro Lylyk; Rosana Ceratto; Alex Klimov
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article     Date:  2008-07-22
Journal Detail:
Title:  Journal of the neurological sciences     Volume:  272     ISSN:  0022-510X     ISO Abbreviation:  J. Neurol. Sci.     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-05     Completed Date:  2008-12-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375403     Medline TA:  J Neurol Sci     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  151-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, Hadassah Hebrew University Hospital, Jerusalem, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Angiography
Blood Vessel Prosthesis Implantation / methods*
Carotid Artery Injuries / complications,  surgery*
Female
Follow-Up Studies
Humans
Male
Prospective Studies
Stents*
Subclavian Artery / injuries,  surgery*
Ultrasonics
Wounds, Penetrating / complications,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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