title: Hybrid Repair of Complex Left Subclavian Artery Injury with Partial Transection and Complete Thrombosis in an Unstable Patient following Blunt Trauma.
abstract: Blunt subclavian artery injuries are rare and are associated with high morbidity and mortality. Several case reports have suggested that endovascular repair is safe with short operative times and minimal blood loss. We report a case of a 20-year-old male patient involved in a high-speed motor vehicle collision that resulted in partial transection of left subclavian artery with complete luminal thrombosis. Patient also had a left main-stem bronchus avulsion along with major intra-abdominal injuries and multiple spine and long bone fractures. He underwent emergent abdominal exploration due to multisystem trauma and hemodynamic instability. Following laparotomy and resuscitation, the subclavian artery injury was repaired using a hybrid technique geared at protecting the patent vertebral and axillary arteries from embolization. We used supraclavicular dissection and arterial control with endovascular stent-graft placement in retrograde fashion to repair the left subclavian artery injury. At 6-month follow-up, computed tomography scan confirmed patency of the left subclavian artery stent and there was no evidence of vertebrobasilar insufficiency or left upper extremity ischemia. In conclusion, stent-graft repair of blunt subclavian artery injuries is expedient and safe. Supraclavicular vascular dissection and control are effective in preventing distal embolization in rare cases complicated with luminal thrombosis.
authors.affiliation: Department of Surgery, Division of Vascular Surgery, University of New Mexico, Albuquerque, NM.
authors.forename: Ilitch
authors.initials: I
authors.lastname: Diaz-Gutierrez
authors.affiliation: Department of Surgery, Division of Vascular Surgery, University of New Mexico, Albuquerque, NM. Electronic address: mrana@salud.unm.edu.
authors.forename: Muhammad A
authors.initials: MA
authors.lastname: Rana
authors.affiliation: Department of Surgery, Division of Vascular Surgery, University of New Mexico, Albuquerque, NM.
authors.forename: Barkat
authors.initials: B
authors.lastname: Ali
authors.affiliation: Department of Surgery, Division of Vascular Surgery, University of New Mexico, Albuquerque, NM.
authors.forename: John M
authors.initials: JM
authors.lastname: Marek
authors.affiliation: Department of Surgery, Division of Vascular Surgery, University of New Mexico, Albuquerque, NM.
authors.forename: Mark
authors.initials: M
authors.lastname: Langsfeld
mesh_terms: D000063:Accidents, Traffic; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D000072226:Computed Tomography Angiography; D004630:Emergencies; D057510:Endovascular Procedures / Q000295:instrumentation; D006439:Hemodynamics; D006801:Humans; D008297:Male; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D055815:Young Adult