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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10900316 | PMC |
| http://dx.doi.org/10.1136/tsaco-2024-001368 | DOI Listing |
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Successful endovascular treatment of post-traumatic subclavian arteriovenous fistula.
J Surg Case Rep
December 2024
Department of Surgery, Hackensack Meridian Health Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ 07756, United States.
Subclavian arteriovenous fistulas (AVFs) are rare entities, mostly reported as a result of traumatic and iatrogenic injuries. In the literature, congenital subclavian AVFs are also presented. Diagnosis of traumatic AVF may present challenges given the variable clinical presentation, varying location, and difficulty to locate on imaging.
View Article and Find Full Text PDFJugular Venous Catheterization is Not Associated with Increased Complications in Patients with Aneurysmal Subarachnoid Hemorrhage.
Neurocrit Care
November 2024
Division of Neurocritical Care, Department of Neurology and Neurosurgery, Emory University School of Medicine, 1364 Clifton Rd NE, Atlanta, GA, 30322, USA.
Background: Classic teaching in neurocritical care is to avoid jugular access for central venous catheterization (CVC) because of a presumed risk of increasing intracranial pressure (ICP). Limited data exist to test this hypothesis. Aneurysmal subarachnoid hemorrhage (aSAH) leads to diffuse cerebral edema and often requires external ventricular drains (EVDs), which provide direct ICP measurements.
View Article and Find Full Text PDFPenetrating chest trauma from a "less lethal" bean bag in the United States: a case report.
J Trauma Inj
December 2023
Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Article Synopsis
- A 49-year-old man was treated at a trauma center after being shot with a bean bag round and tased during an altercation with police, revealing multiple injuries including a lung foreign body and fractures.
- Imaging showed a bean bag projectile embedded in his lung and indicated other fractures, but he was stable enough to undergo surgery to remove the projectile.
- The case highlights the dangers of "less lethal" bean bag projectiles used by law enforcement, as they can still cause serious injuries.
Endovascular Repair in Patients with Axillary-Subclavian Arterial Trauma.
Ann Vasc Surg
January 2025
Department of Vascular Surgery, Fundación Valle del Lili, Cali, Colombia.
Article Synopsis
- Arterial trauma to the axillary subclavian segment poses significant health risks, and endovascular therapy is emerging as a preferable treatment option over traditional surgical methods due to the complexity of accessing these vessels.
- A study conducted over 15 years at a university hospital in Cali, Colombia, analyzed outcomes for 32 patients with traumatic injuries to these arteries who received endovascular treatment, with most patients being young and male.
- The findings revealed that the majority of injuries were penetrating (mostly from gunshot wounds), with a low incidence of intraoperative complications, but notable occurrences of pseudoaneurysms and thrombosis among the patients treated.
Unusual Evidence of Fat Embolism in the Subclavian Vein Detected by High-Intensity Transient Signals.
Methodist Debakey Cardiovasc J
September 2024
Houston Methodist, Houston, Texas, US.
Fat emboli may occur in patients after traumatic fractures or orthopedic procedures; however, their clinical detection is a very rare finding. Here, we describe a 77-year-old female who was admitted to the emergency department with a fracture of the right humerus. We diagnosed fat embolism after an ultrasound of the right subclavian vein.
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