AI Article Synopsis

  • Non-penetrating injuries to the subclavian artery are rare and pose significant surgical challenges due to limited surgeon experience and the complexity of vascular control.
  • Two cases are reported: one involving blunt trauma and another with an aneurysm after a shoulder dislocation, both treated successfully with percutaneous stent implantation.
  • Follow-up imaging showed that this less invasive procedure can be a promising new option for conservatively managing certain traumatic subclavian injuries.

Article Abstract

Non-penetrating injury to the subclavian artery has not often been reported. The limited experience of surgeons with this type of trauma and the difficult vascular control required for its management make it a surgical challenge. We report on two cases, one after blunt trauma and the other with a subclavian artery aneurysm following anterior dislocation of the shoulder. Percutaneous stent implantation in the subclavian artery was successfully performed with, in the second case, coil embolization of the aneurysm. Follow-up Doppler sonography and angiogram demonstrated patency and luminal integrity of the involved artery. This less invasive procedure may be a significant advance and a new approach in the conservative management of traumatic subclavian injury for selected cases.

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Source
http://dx.doi.org/10.1055/s-2007-1013140DOI Listing

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