title: Late onset acute occlusion of the subclavian artery after clavicle fracture.
abstract: Vascular injuries after a clavicle fracture are rare. The treatment remains, if possible, conservative. In case of life-threatening bleeding or limb ischemia, endovascular treatment is the treatment of choice. In this case report, we describe a patient who suffered a clavicle fracture five years before and now presented with acute invalidating claudication caused by an acute occlusion superimposed on a brachial artery stenosis. After unsuccessful thrombolytic therapy a surgical exploration of the brachial artery was performed.
authors.affiliation: Department of Vascular Surgery, University Medical Center, the Netherlands P.M.vanSchaik-2@umcutrecht.nl.
authors.forename: P M
authors.initials: PM
authors.lastname: van Schaik
authors.affiliation: Department of Vascular Surgery, University Medical Center, the Netherlands.
authors.forename: G J
authors.initials: GJ
authors.lastname: de Borst
authors.affiliation: Department of Vascular Surgery, University Medical Center, the Netherlands.
authors.forename: F L
authors.initials: FL
authors.lastname: Moll
authors.affiliation: Department of Vascular Surgery, University Medical Center, the Netherlands.
authors.forename: R J
authors.initials: RJ
authors.lastname: Toorop
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D002968:Clavicle / Q000293:injuries*; D003251:Constriction, Pathologic; D050723:Fractures, Bone / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012039:Regional Blood Flow; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D017131:Thrombectomy; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome; D014654:Vascular Patency; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery
keywords: Clavicle fracture; dissection; endovascular; stenosis; thrombolysis; vascular injury