Endovascular repair of traumatic axillary artery transection associated with scapulothoracic dissociation complicated by stent separation

Michael Shih; K Benjamin Lee; Mirza S Baig; Andrea Klein; Alejandra Rodriguez; Melissa Kirkwood

doi:10.1016/j.jvscit.2023.101110

Endovascular repair of traumatic axillary artery transection associated with scapulothoracic dissociation complicated by stent separation

J Vasc Surg Cases Innov Tech. 2023 Jan 24;9(1):101110. doi: 10.1016/j.jvscit.2023.101110. eCollection 2023 Mar.

Authors

Michael Shih¹, K Benjamin Lee¹, Mirza S Baig¹, Andrea Klein¹, Alejandra Rodriguez¹, Melissa Kirkwood¹

Affiliation

¹ Division of Vascular and Endovascular Surgery, Department of Surgery, UT Southwestern Medical Center, Dallas, TX.

Abstract

We report the case of a 23-year-old female pedestrian who had been struck by a car and had presented with axillary artery transection in the setting of scapulothoracic dissociation. The initial endovascular repair was compromised by her shoulder instability and had required the addition of bridging stent placement. Caution is advised with endovascular repair in this clinical scenario because of possible stent separation.

Keywords: Arterial trauma; Axillary artery injury; Axillosubclavian artery injury; Endovascular repair; Scapulothoracic dissociation.

Publication types

Case Reports