Hybrid repair of proximal subclavian artery transection. (October 2020)

• Record Type: Journal Article
• Authors: Staniszewska, Aleksandra; Anwar, Muzaffar; Hamady, Mohamad; Nott, David
• Is Part Of: Trauma. Volume 22:Number 4(2020:Oct.)
• Page Start: 316
• Page End: 319
• Publication Date: 2020-10
• Subjects: Amplatzer Vascular Plug -- subclavian artery -- transection -- trauma -- hybrid repair; Traumatology -- Periodicals; Disaster medicine -- Periodicals; Wounds and injuries -- Periodicals; Electronic journals; 617.1
• DOI: 10.1177/1460408620934364
• Languages: English
• ISSNs: 1460-4086

Abstract

Although rare, subclavian artery injuries are associated with significant mortality and morbidity, with almost two-thirds of patients dying before reaching hospital. Recent advances in technology have resulted in increasing use of endovascular therapy in management of these injuries. In this report, we present a case of a successful hybrid repair of traumatic left proximal subclavian artery transection. The employment of an Amplatzer Vascular Plug to control a short proximal subclavian artery stump and subsequent ligation of the distal segment of subclavian artery with its anastomosis to the carotid artery resulted in excellent clinical outcome without performing a sternotomy in a young patient.