Submitted: 02 Jul 2019
Accepted: 30 Jan 2020
ePublished: 05 May 2020
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J Cardiovasc Thorac Res. 2020;12(2): 145-149.
doi: 10.34172/jcvtr.2020.24
PMID: 32626556
PMCID: PMC7321003
  Abstract View: 221
  PDF Download: 113

Short Communication

Management of traumatic subclavian artery injuries in a high-volume vascular surgery center in Iran

Niki Tadayon 1,2 ORCID logo, Negin Yavari 3, Sina Zarrintan 1,2,4* ORCID logo, Seyed Masoud Hosseini 1,2, Seyed Moahammad Reza Kalantar-Motamedi 1,2

1 Division of Vascular & Endovascular Surgery, Department of General & Vascular Surgery, Shohada-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Iranian Society of Vascular Surgery, Tehran, Iran
3 Research Department, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
4 Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
*Corresponding Author: Sina Zarrintan, Email: s.zarrintan@yahoo.com


Introduction: Subclavian artery injury is an uncommon vascular trauma with potential morbidity and mortality. Management of subclavian artery trauma requires open and endovascular techniques and timely and efficacious decision is mandatory. We retrospectively reviewed traumatic subclavian artery injuries in a high-volume vascular surgery center in Iran.

Methods: In a retrospective study, we assessed subclavian artery injuries during 6 years in ShohadaTajrish Medical Center. Background characteristics, type of incision, type of operation and outcome of patients were evaluated.

Results: A total of 14 patients had subclavian artery injury (mean age 29.9 ± 13.4 years, 92.9% male). Trauma was in left and right sides in eight (57.1%) and six patients (42.9%) respectively. Arteriorrhaphy, interposition and ligation of injured artery was done in 7 (50.0%), 3 (21.4%) and 4 (28.6%) patients respectively. Associated nerve injury was present in six patients (42.9%). Endovascular proximal control was obtained in six patients (42.9%) prior to vascular exposure. Time of patient referral did not have significant association with shock or type of operation (P > 0.05).

Conclusion: Although traumatic subclavian artery injuries are rare, its vascular exposures and reconstructions are of potential clinical concern. Endovascular interventions can facilitate proximal control. In addition, endovascular repair by covered stent is an alternative to open surgery.

Keywords: Subclavian Artery, Vascular Trauma, Proximal Control
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