Diagnostic and Interventional Radiology (Jan 2023)

The spectrum of computed tomography findings in blunt trauma of the subclavian/axillary artery: a pictorial essay

  • Emanuele Barabino,
  • Diego Ivaldi,
  • Giulia Pittaluga,
  • Arianna Nivolli,
  • Matteo Arnò,
  • Paolo Gazzo

DOI
https://doi.org/10.5152/dir.2022.211271
Journal volume & issue
Vol. 29, no. 1
pp. 117 – 127

Abstract

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Traumatic injuries of the subclavian and axillary arteries are uncommon but have high morbidity and mortality. In contrast to penetrating injuries, which are often lethal, blunt injuries present a wide and heterogeneous spectrum of imaging findings. If a vessel tear or transsection is a life-threatening circumstance, minor injuries might be overlooked in an emergency setting but could cause or aggravate the functional loss of a limb. The aim of this pictorial essay is to acquaint radiologists with the spectrum of imaging findings that could be encountered during the radiological evaluation of the subclavian/axillary artery (SAA) in trauma patients and offer tips and tricks to improve the diagnostic workup of patients with suspected blunt SAA injuries.

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