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.
Department of Vascular Surgery, Morristown Memorial Hospital, Morristown, NJ 07960, USA. valentinmd@hotmail.com.
Marlene D
MD
Valentin
Nirman
N
Tulsyan
Kevin
K
James
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*