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- Title
Treatment Outcome of Traumatic Subclavian Artery Injuries.
- Authors
Tanmit, Parichat; Angkasith, Phati; Teeratakulpisarn, Panu; Thanapaisal, Chaiyut; Wongkonkitsin, Narongchai; Prasertcharoensuk, Supatcha; Panich, Chaiwat
- Abstract
<bold>Background: </bold>Traumatic subclavian artery injuries are associated with high morbidity and mortality. Thoracic cage and clavicle provide a well protection of the underlying subclavian vessels and nerves and also cause a very limited operation space during open surgery. The endovascular modality is less invasive and alternative to conventional open surgical reconstruction.<bold>Purpose: </bold>The purpose of this study was to analyze the different therapeutic effects on limb salvage.<bold>Methods: </bold>A retrospective review of patients who presented with blunt or penetrating injuries to the subclavian arteries between March 2012 and March 2021.<bold>Results: </bold>Endovascular and open repairs were both effective for traumatic subclavian artery injury. There was no statistical difference in the limb salvage, mortality, procedure-related complication, reintervention rate and in-hospital medical complications. Intraoperative blood loss, red blood cell transfusion requirement and length of hospital stay were significantly lower in the endovascular intervention group.<bold>Conclusion: </bold>Endovascular treatment represents an attractive alternative to the traditional surgical approach for the treatment of traumatic injuries in the subclavian.
- Subjects
LIMB salvage; SUBCLAVIAN artery; RED blood cell transfusion; SURGICAL blood loss; PLASTIC surgery; TREATMENT effectiveness
- Publication
Vascular Health & Risk Management, 2021, Vol 17, p481
- ISSN
1176-6344
- Publication type
journal article
- DOI
10.2147/VHRM.S322127