Endovascular repair of occluded subclavian arteries following penetrating trauma.
OBJECTIVE
To describe the endovascular repair of 2 subclavian arteries occluded due to penetrating trauma.


METHODS
Two male patients were admitted with zone-I neck stab wounds. Both were hemodynamically stable and had absent pulses in the ipsilateral upper limb with decreased Doppler pressures. There were no signs of critical ischemia or active bleeding. On arteriography, complete occlusion of the second segment of the left subclavian arteries in both patients was demonstrated. Stent-graft repair and embolectomy under local anesthesia were successfully performed. No procedure-related complications occurred, and both patients were discharged after 2 days. At 1-year follow-up, stent-graft patency was demonstrated in both patients.


CONCLUSIONS
Endovascular repair is a feasible and safe option in the management of occluded subclavian arteries due to penetrating trauma. This may represent another indication for stent-grafting in the expanding role of this technique.
Strauss
D C
DC
Department of Surgery, University of Stellenbosch, Tygerberg Hospital, Cape Town, South Africa.
du Toit
D F
DF
Warren
B L
BL
D000328:Adult; D000792:Angiography; D017130:Angioplasty; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D017128:Embolectomy; D006801:Humans; D008297:Male; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D014951:Wounds, Stab / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*