Treatment Outcome of Traumatic Subclavian Artery Injuries

• Main Authors: Tanmit P, Angkasith P, Teeratakulpisarn P, Thanapaisal C, Wongkonkitsin N, Prasertcharoensuk S, Panich C
• Format: Article
• Language: English
• Published: Dove Medical Press 2021-08-01
• Series: Vascular Health and Risk Management
• Subjects: traumatic subclavian artery injury; blunt trauma; penetrating trauma; pseudoaneurysms; stent graft. endovascular treatment; bypass
• Online Access: https://www.dovepress.com/treatment-outcome-of-traumatic-subclavian-artery-injuries-peer-reviewed-fulltext-article-VHRM

Parichat Tanmit, Phati Angkasith, Panu Teeratakulpisarn, Chaiyut Thanapaisal, Narongchai Wongkonkitsin, Supatcha Prasertcharoensuk, Chaiwat Panich Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandCorrespondence: Parichat TanmitDepartment of Surgery, Faculty of Medicine, Khon Kaen University, 123 Moo16 Mittraphap Road, Nai-Muang, Muang District, Khon Kaen, 40002, ThailandTel [phone]Email [e-mail]: 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.Purpose: The purpose of this study was to analyze the different therapeutic effects on limb salvage.Methods: A retrospective review of patients who presented with blunt or penetrating injuries to the subclavian arteries between March 2012 and March 2021.Results: 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.Conclusion: Endovascular treatment represents an attractive alternative to the traditional surgical approach for the treatment of traumatic injuries in the subclavian.Keywords: traumatic subclavian artery injury, blunt trauma, penetrating trauma, pseudoaneurysms, stent graft, endovascular treatment, bypass