title: Endovascular repair of subclavian/axillary artery injury  with a covered stent. A case report and review of literature.
abstract: Experience with and acceptance of endovascular repair of arch vessel injuries continues to increase. This manuscript reports the case of a 65-year-oldman with a gunshot wound to the right supraclavicular area with a hematoma, pulsating mass and loss of neurological function of the right upper extremity. As he was hemodynamically stable, a computed tomography angiogram was performed and it demonstrated a 6 cm right subclavian/axillary artery pseudoaneurysm. The patient was taken to the angiogram/ hybrid room and an arch angiogram was performed. A selective right subclavian angiogram was performed and a covered stent was deployed across the pseudoaneurysm and a completion angiogram showed complete exclusion with normal runoff to the upper extremity. In conclusion, penetrating subclavian/axillary artery trauma can be successfully managed with minimal morbidity via early utilization of endovascular covered stent therapy. A literature review suggests that the endovascular approach will soon be the standard of care for traumatic disruption of subclavian arteries.
authors.affiliation: Department of Surgery, Robert C Byrd Health Sciences Center, West Virginia University, 3110 MacCorkle Avenue, SE, Charleston, WV 25304, USA. amousa@hsc.wvu.edu
authors.forename: Albeir
authors.initials: A
authors.lastname: Mousa
authors.forename: Benny
authors.initials: B
authors.lastname: Chong
authors.forename: Ali F
authors.initials: AF
authors.lastname: AbuRahma
mesh_terms: D001366:Axillary Artery / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D006801:Humans; D015607:Stents; D013348:Subclavian Artery / Q000601:surgery; D016896:Treatment Outcome; D057772:Vascular System Injuries; D014948:Wounds, Gunshot