Endovascular treatment of axillosubclavian arterial injuries is a safe alternative to open repair

被引:5
作者
Siada, Sammy S. [1 ,2 ]
Dirks, Rachel C. [1 ]
Davis, James W. [1 ]
O'Banion, Leigh Ann [1 ]
机构
[1] Univ Calif San Francisco, Dept Surg, Dept Surg floor 1, 2823 Fresno St, Fresno, CA 93721 USA
[2] 1247 E Alluvial Ave Ste 101, Fresno, CA 93720 USA
关键词
Vascular trauma; Axillary; Subclavian; Innominate; MANAGEMENT;
D O I
10.1016/j.amjsurg.2022.10.034
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Injuries to the axillosubclavian arteries are rare, comprising 5% of all extremity trauma. This study aims to examine contemporary outcomes of traumatic axillosubclavian injuries. Methods: A retrospective review was performed on patients admitted with innominate, subclavian, and/or axillary artery injuries to a level 1 trauma center from 2011 to 2021. Patients undergoing endovascular repair were compared to those with open repair. Results: Thirty two patients met inclusion criteria. Injuries were approached open in 22 (59%) cases and endovascular in 10 (27%). There was no difference in 30-day mortality or hospital length of stay between endovascular and open repair. Endovascular repairs had shorter operative times (1.9 vs 3.1 h, p = 0.009) and lower blood loss (72 vs 1662 mL, p < 0.001). Conclusions: Endovascular repair of axillosubclavian arterial injuries demonstrate similar outcomes to open repair. Significantly shorter operative times and lower blood loss suggest potential decreased morbidity.
引用
收藏
页码:1385 / 1387
页数:3
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