Long-term results of stent graft treatment of subclavian artery injuries: management of choice for stable patients?

Background: The management of penetrating subclavian artery injuries poses a formidable surgical challenge. The feasibility of stent graft repair is already established. General use of this modality is not widely accepted due to concerns regarding the long-term outcome in a generally young patient population.

Neurologic outcome after penetrating extracranial arterial trauma.

Purpose: We undertook this study to determine factors that adversely affect outcome in patients with penetrating injury to the extracranial cerebral vasculature. Patients and methods Medical records were reviewed for all patients who had undergone surgical intervention to treat penetrating injury to the extracranial cerebral arteries between January 1989 and December 1999. Forensic autopsy findings were also reviewed for all patients who died as a result of their injury.

Duodenal injuries: surgical management adapted to circumstances.

Objectives: To evaluate the results of an evolving policy of primary repair of duodenal injuries, when considered feasible and safe, complemented by pyloric exclusion if any doubt as to the integrity of the repair existed.

Patients And Methods: A prospective analysis of all patients with surgically identified duodenal injuries treated at a single institution over a 3-year period.

Results: In 30 patients studied, there were four deaths (13%) and an overall complication rate of 47%.