Endovascular repair of traumatic axillosubclavian artery injuries

Jason Zhang, MD; Rohan Basu, BS; Andrew R. Bauder, MD; Jon G. Quatramoni, MD; Julia Glaser, MD; Venkat Kalapatapu, MD; Ann C. Gaffey, MD, MS

Journal of Vascular Surgery Cases and Innovative Techniques (Mar 2022)

Endovascular repair of traumatic axillosubclavian artery injuries

Jason Zhang, MD,
Rohan Basu, BS,
Andrew R. Bauder, MD,
Jon G. Quatramoni, MD,
Julia Glaser, MD,
Venkat Kalapatapu, MD,
Ann C. Gaffey, MD, MS

Affiliations

Jason Zhang, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa
Rohan Basu, BS: Division of Vascular and Endovascular Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa
Andrew R. Bauder, MD: Division of Plastic and Reconstructive Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa
Jon G. Quatramoni, MD: Department of Vascular Surgery, Cleveland Clinic, Cleveland, Ohio
Julia Glaser, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa
Venkat Kalapatapu, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa
Ann C. Gaffey, MD, MS: Division of Vascular and Endovascular Surgery, Department of Surgery, University of California, San Diego, School of Medicine, La Jolla, Calif; Correspondence: Ann C. Gaffey, MD, MS, Division of Vascular and Endovascular Surgery, Department of Surgery, University of California, San Diego, School of Medicine, 9434 Medical Center Dr, Mail Code 7403, La Jolla, CA 92037

Journal volume & issue: Vol. 8, no. 1
pp. 23 – 27

Abstract

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Gun violence reached a 20-year peak in 2020, with the first-line treatment of axillosubclavian vascular injuries (SAVIs) remaining unknown. Traditional open exposure is difficult and exposes patients to iatrogenic venous and brachial plexus injury. The practice of endovascular treatment has been increasing. We performed a retrospective analysis of SAVIs at a level I trauma center. Seven patients were identified. Endovascular repair was performed in five patients. Technical success was 100%. The early results suggest that endovascular treatment of trauma-related SAVIs can be performed safely and effectively. However, complications such as stent thrombosis or occlusion can occur, demonstrating the need for surveillance.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

About the journal

Abstract

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