title: [Injury to the subclavian and vertebral arteries in childhood following blunt force trauma].
abstract: Injuries of great vessels, such as the subclavian or vertebral arteries in childhood are rare. More frequent and therefore better described are dissections of the vertebral artery, which frequently occur following low energy trauma. The combination of dissection of the vertebral and subclavian arteries described in this case study led to sensory affections of the left arm. Therapeutic anticoagulation is the therapy of choice to avoid possible ischemic insults. The therapeutic approach of injuries to the subclavian artery remains unclear and is in the focus of discussions.
authors.affiliation: Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. zeckey.christian@mh-hannover.de
authors.forename: C
authors.initials: C
authors.lastname: Zeckey
authors.forename: M
authors.initials: M
authors.lastname: Frink
authors.forename: M
authors.initials: M
authors.lastname: Wilhelmi
authors.forename: P
authors.initials: P
authors.lastname: Mommsen
authors.forename: U
authors.initials: U
authors.lastname: Brunnemer
authors.forename: C
authors.initials: C
authors.lastname: Probst
authors.forename: C
authors.initials: C
authors.lastname: Krettek
authors.forename: F
authors.initials: F
authors.lastname: Hildebrand
mesh_terms: D000293:Adolescent; D000792:Angiography; D000925:Anticoagulants / Q000008:administration & dosage; D001132:Arm / Q000098:blood supply / Q000294:innervation; D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D001642:Bicycling / Q000293:injuries*; D002648:Child; D003131:Combined Modality Therapy; D006491:Hemothorax / Q000601:surgery; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D008297:Male; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D013349:Subclavian Steal Syndrome / Q000000981:diagnostic imaging / Q000601:surgery; D013898:Thoracic Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D020217:Vertebral Artery Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D014715:Vertebrobasilar Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*
chemical_list: D000925:Anticoagulants; D006493:Heparin
references.citation: J Pediatr Surg. 1992 Oct;27(10):1281-4
references.pmid: 1403503
references.citation: J Pediatr Surg. 1998 Mar;33(3):462-7
references.pmid: 9537558
references.citation: Injury. 2007 Sep;38(9):1091-7
references.pmid: 17543309
references.citation: J Trauma. 1991 Nov;31(11):1546-50
references.pmid: 1942180
references.citation: Cardiovasc Surg. 1997 Feb;5(1):48-53
references.pmid: 9158123
references.citation: Acad Emerg Med. 1997 Oct;4(10):991-5
references.pmid: 9332633
references.citation: Am Surg. 2004 May;70(5):443-7
references.pmid: 15156954
references.citation: Can J Neurol Sci. 2008 May;35(2):146-52
references.pmid: 18574926
references.citation: Surg Clin North Am. 2001 Dec;81(6):1357-73, xiii
references.pmid: 11766180
references.citation: Surgery. 1981 Jan;89(1):42-7
references.pmid: 7466610