Author/Authors :
Tadayon, Niki Division of Vascular & Endovascular Surgery - Department of General & Vascular Surgery - Shohada-Tajrish Medical Center - Shahid Beheshti University of Medical Sciences, Tehran - Iranian Society of Vascular Surgery, Tehran , Yavari, Negin Research Department - Tehran Heart Center - Tehran University of Medical Sciences , Zarrintan, Sina Cardiovascular Research Center - Tabriz University of Medical Sciences - Division of Vascular & Endovascular Surgery - Department of General & Vascular Surgery - Shohada-Tajrish Medical Center - Shahid Beheshti University of Medical Sciences, Tehran - Iranian Society of Vascular Surgery, Tehran , Hosseini, Masoud Division of Vascular & Endovascular Surgery - Department of General & Vascular Surgery - Shohada-Tajrish Medical Center - Shahid Beheshti University of Medical Sciences, Tehran - Iranian Society of Vascular Surgery, Tehran , Kalantar Motamedi, Moahammad Reza Division of Vascular & Endovascular Surgery - Department of General & Vascular Surgery - Shohada-Tajrish Medical Center - Shahid Beheshti University of Medical Sciences, Tehran - Iranian Society of Vascular Surgery, Tehran
Abstract :
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.
