title: Subclavian vessel injuries: difficult anatomy and difficult territory.
abstract: BACKGROUND
  Thoracic and thoracic related vascular injuries represent complex challenges to the trauma surgeon. Subclavian vessel injuries, in particular, are uncommon and highly lethal. Regardless of the mechanism, such injuries can result in significant morbidity and mortality.
  
  
  METHODS
  Systematic review of the literature, with emphasis on the diagnosis, treatment and outcomes of these injuries, incorporating the authors' experience.
  
  
  CONCLUSIONS
  These injuries are associated with significant morbidity and mortality. Patients who survive transport are subject to potentially debilitating injury and possibly death. Management of these injuries varies, depending on hemodynamic stability, mechanism of injury, and associated injuries. Despite significant advancements, mortality due to subclavian vessel injury remains high.
authors.affiliation: Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
authors.forename: J D
authors.initials: JD
authors.lastname: Sciarretta
authors.affiliation: Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA. jasensio@med.miami.edu.
authors.forename: J A
authors.initials: JA
authors.lastname: Asensio
authors.affiliation: Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
authors.forename: T
authors.initials: T
authors.lastname: Vu
authors.affiliation: Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
authors.forename: F N
authors.initials: FN
authors.lastname: Mazzini
authors.affiliation: Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
authors.forename: J
authors.initials: J
authors.lastname: Chandler
authors.affiliation: Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
authors.forename: F
authors.initials: F
authors.lastname: Herrerias
authors.affiliation: Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Verde
authors.affiliation: Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
authors.forename: P
authors.initials: P
authors.lastname: Menendez
authors.affiliation: Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Sanchez
authors.affiliation: Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
authors.forename: P
authors.initials: P
authors.lastname: Petrone
authors.affiliation: Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
authors.forename: K D
authors.initials: KD
authors.lastname: Stahl
authors.affiliation: Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
authors.forename: H
authors.initials: H
authors.lastname: Lieberman
authors.affiliation: Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
authors.forename: C
authors.initials: C
authors.lastname: Marini
keywords: Exposure; Injury; Management; Subclavian; Trauma; Vascular
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