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

Diagn Interv Radiol. 2023 Jan 31;29(1):117-127. doi: 10.5152/dir.2022.211271. Epub 2023 Jan 2.

Abstract

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.

Keywords: Subclavian artery; axillary artery; computed tomography; emergency radiology; trauma.

MeSH terms

  • Axillary Artery* / diagnostic imaging
  • Axillary Artery* / injuries
  • Humans
  • Subclavian Artery / diagnostic imaging
  • Subclavian Artery / injuries
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Wounds, Nonpenetrating* / diagnostic imaging