Endovascular management of traumatic axillary artery dissection--a case report and review of the literature.
A 43-year-old man was admitted to this hospital with a cool, slightly numb, left upper extremity after trauma. Physical examination revealed a cool left forearm and hand, with no distal pulses. An intraoperative angiogram demonstrated short-segment dissection and occlusion of the left axillary artery. A 10 mm x 40 mm self-expanding stent was placed across the intimal flap to reinstitute peripheral flow. Early postoperative duplex scanning showed normal flow through the axillary artery.
Valentin
Marlene D
MD
Department of Vascular Surgery, Morristown Memorial Hospital, Morristown, NJ 07960, USA. valentinmd@hotmail.com.
Tulsyan
Nirman
N
James
Kevin
K
D000328:Adult; D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery*; D000792:Angiography; D001366:Axillary Artery / Q000293:injuries* / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D015607:Stents; D034941:Upper Extremity / Q000098:blood supply*