Risk of continuing planned surgery after endovascular repair of subclavian artery injury: a case report

Korean J Anesthesiol. 2014 Aug;67(2):139-43. doi: 10.4097/kjae.2014.67.2.139. Epub 2014 Aug 26.

Abstract

Endovascular repair with covered stents has been widely used to treat subclavian and axillary artery injuries and has produced promising early results. The possibility of a thromboembolism occurring in cerebral arteries during an endovascular procedure should be a cause for concern. In the case of endovascular management of arterial traumas, a prompt and sufficient period for check-up of the patient's neurological signs is needed, even if it requires postponing elective intervention for the patient's safety. We report a rare case of liver transplantation immediately after endovascular repair of an iatrogenic subclavian arterial injury to describe the risk of continuing planned surgery without neurologic assessment.

Keywords: Artery injury; Cerebral infarction; Endovascular procedure; Liver transplantation.