Endovascular Stenting for Arterial Injury in Trauma: A Case Report

Main Article Content

R. Kishen
K. Zalikha
K. Krishna
S. Lenny
M. Azim
N. Azuan

Abstract

The utilization of endovascular interventions with a covered stent for vascular injuries are in rising trend. The approach was first introduced in 1991 with ballon-expandable intraluminal graft for subclavian artery injury. Axillary artery involvement rarely occurs in trauma, as it is protected in the thoracic inlet; however, injuries can cause significant morbidity and even mortality to patients. Surgical exploration and repair of axillary artery poses substantial challenge to surgeons, with potential exacerbation of iatrogenic trauma to neurovascular bundles and other surrounding structures. Endovascular technique is amenable to overcome these difficult anatomic regions. We obtained consent and describe a case of traumatic proximal axillary artery injury in a young man that was successfully managed with endovascular stenting.

Keywords:
Endovascular intervention, axillary artery injury, vascular injury, covered stent

Article Details

How to Cite
Kishen, R., Zalikha, K., Krishna, K., Lenny, S., Azim, M., & Azuan, N. (2021). Endovascular Stenting for Arterial Injury in Trauma: A Case Report. Asian Journal of Medical Case Reports, 3(2), 16-21. Retrieved from https://globalpresshub.com/index.php/AJMCR/article/view/1273
Section
Case Reports

References

Mc Arthur CS, Marin ML. Endovascular therapy for the treatment of arterial trauma. Mt Sinai J Med. 2004;71:4-11.

Taghavi Sharven, et al. Impact of trauma center volume on major vascular injury: An analysis of the National Trauma Data Bank (NTDB). The American Journal of Surgery. 2020;220(3):787-792.

Romagnoli AN, Zeeshan M, Joseph B, Brenner ML. Utilization of endovascular and open surgical repair in the United States: A 10-year analysis of the National Trauma Databank (NTDB). Am J Surg. 2019;218(6):1128-1133.

Franz RW, Skytta CK, Shah KJ, et al. A Five-year review of management of upper extremity arterial injuries at urban level 1 trauma center. Ann Vasc Surg. 2012;26(5): 655-64.

Mc Kinley AG, Carrim AT, Robbs JV. Management of proximal axillary, and subclavian artery injuries. Br J Surg. 2000; 87:79-85.

Alawneh K, Raffee L, Hamouri S. Delayed Endovascular Stenting of Right Subclavian Artery Pseudoaneurysm Caused by Gunshot Accident in a Syrian Refugee: A Case Report. Vasc Endovascular Surg. 2017;51(6):386-389.

Elkbuli A, Shaikh S, Mc Kenney M, Boneva D. Subclavian artery avulsion following blunt trauma: A case report and literature review. Int J Surg Case Rep. 2019;61:157-160.

DuBose JJ, Rajani R, Gilani R, Arthurs ZA, Morrison JJ, Clouse WD, et al. Endovascular skills for trauma Resuscitative surgery working group. Endovascular management of axillo- subclavian arterial injury; a review of published experience injury. 2012;43: 1785-1792.

Rasmussen TE, Woodson J, Rich NM, Mattox KL. Vascular trauma at a crossroads. J Trauma. 2011;70:1291-1293. Case report and literature review. Int J Surg Case Rep. 2019;61:157-160.

White R, Krajcer Z, Johnson M, et al.Results of a multicentre trial for the treatment of traumatic vascular injury with a covered stent. J Trauma. 2006;60: 1195-6.

Johanesen K, Daines M, Howey T, Helfet D, Hansen ST Jr. Objective criteria accurately predict amputation following lower extremity trauma. The Journal of Trauma. 1990;30:568-572; discussion 572-573.

Korompilias AV, Beris AE, Lykissas MG, Vekris MD, Kontogeorgakos VA, Soucacos PN. The mangled extremity and attempt for limb salvage. J Orthop Surg Res. 2009; 4(4):13.

Baker AC, Clouse WD. Upper extremity and junctional zone injuries. Rich’s Vascular Trauma. 2016;149- 167.

D.F. du Toit, Lambrechts AV, Stark H, Warren BL. Long –term results of stent-graft treatment of subclavian artery injuries: management of choice for stable patients? J Vasc Surg. 2008;47:739-743.

Kobayashi L, Coimbra R, Goes AMO Jr, et al. AAST-WSES Guidelines on Diagnosis and Management of Peripheral Vascular Injuries. J Trauma Acute Care Surg. 2020; 10:1097.

Chambers ST. Diagnosis and management of staphylococcal infections of vascular grafts and stents. Intern Med J. 2005; 35(Suppl.2):S72-8.

Khan S, Elghazaly H, Mian A, et al. A metaanalysis on anticoagulation after vascular trauma. Eur J Trauma Emerg Surg. 2020;46:1291-1299.

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