Combination of endovascular and open repair for the management of subclavian artery injury

Emmanouil Barmparessos; Vasileios Katsikas; Miltiadis Gravanis; Alexios Kalamaras; George Kopadis

doi:10.1016/j.tcr.2022.100673

Combination of endovascular and open repair for the management of subclavian artery injury

Trauma Case Rep. 2022 Jul 6:41:100673. doi: 10.1016/j.tcr.2022.100673. eCollection 2022 Oct.

Authors

Emmanouil Barmparessos¹, Vasileios Katsikas¹, Miltiadis Gravanis², Alexios Kalamaras¹, George Kopadis¹

Affiliations

¹ Vascular Surgery Department, General Hospital of Athens "Georgios Gennimatas", 154 Mesogeion Avenue, 156 69 Athens, Greece.
² Interventional Radiology Department, General Hospital of Athens "Georgios Gennimatas", 154 Mesogeion Avenue, 156 69 Athens, Greece.

Abstract

Axillosubclavian artery injury is relatively uncommon; however, it is related to a high rate of morbidity and mortality. Although open repair as well as endovascular techniques have been proposed for the treatment of axillosubclavian artery injury, the ideal approach is still under investigation. We present a case of a 20-year-old patient who suffered from complete subclavian artery transection, following blunt thoracic trauma. Using percutaneous access, a balloon catheter was inflated under fluoroscopy, in the origin of his affected subclavian artery ceasing the haemorrhage, thus immediately afterwards he was submitted to arterial bypass. The combination of endovascular and open repair ensured his life and limb salvage while the complications of an otherwise extensive dissection were obviated.

Keywords: Axillary artery; Endovascular procedures; Injury; Open repair; Subclavian artery; Trauma.

Publication types

Case Reports