Background: Traumatic subclavian artery injuries are associated with high morbidity and mortality. Thoracic cage and clavicle provide a well protection of the underlying subclavian vessels and nerves and also cause a very limited operation space during open surgery. The endovascular modality is less invasive and alternative to conventional open surgical reconstruction.
Purpose: The purpose of this study was to analyze the different therapeutic effects on limb salvage.
Methods: A retrospective review of patients who presented with blunt or penetrating injuries to the subclavian arteries between March 2012 and March 2021.
Results: Endovascular and open repairs were both effective for traumatic subclavian artery injury. There was no statistical difference in the limb salvage, mortality, procedure-related complication, reintervention rate and in-hospital medical complications. Intraoperative blood loss, red blood cell transfusion requirement and length of hospital stay were significantly lower in the endovascular intervention group.
Conclusion: Endovascular treatment represents an attractive alternative to the traditional surgical approach for the treatment of traumatic injuries in the subclavian.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8379483 | PMC |
| http://dx.doi.org/10.2147/VHRM.S322127 | DOI Listing |
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