Surgical and Endovascular Management of Penetrating Innominate Artery Injuries

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dc.contributor.authordu Toit D.F.
dc.contributor.authorOdendaal W.
dc.contributor.authorLambrechts A.
dc.contributor.authorWarren B.L.
dc.date.accessioned2011-05-15T16:16:23Z
dc.date.available2011-05-15T16:16:23Z
dc.date.issued2008
dc.description.abstractObjective: To review our management of penetrating innominate artery injuries by open and endovascular techniques. Methods: Data regarding patient demography, clinical presentation, investigations, associated injuries, pathology, management, complications and mortality, were collected on patients treated at a single centre over 18 years. Results: 39 innominate artery injuries were treated. There were 36 men and three women, with a mean age of 27 years (range 18-49).Thirty-eight injuries were due to stabwounds and one was the result of a gunshot wound. The most common clinical presentations were shock (47%) and haematoma(42%). Twenty-three patients had associated injuries. The most common pathology was false aneurysm in 21 patients followed by 13 actively bleeding injuries, 4 arteriovenous fistulas and 1 arterial occlusion. Thirty-four patients underwent surgical and five endovascular repair. Overall survival was 79%. The stroke rate for surviving patients was 6%. Patients treated with endovascular stenting had shorter hospital and intensive care unit stays than those treated with surgery. Conclusions: Innominate artery injuries have high rates of morbidity and mortality. A vascular surgical approach with pre-operative angiography, when possible and careful surgical planning by a dedicated team promotes better surgical results. Endovascular and hybrid procedures can become the method of choice when treating stable patients. © 2008 European Society for Vascular Surgery.
dc.description.versionArticle
dc.identifier.citationEuropean Journal of Vascular and Endovascular Surgery
dc.identifier.citation36
dc.identifier.citation1
dc.identifier.issn10785884
dc.identifier.other10.1016/j.ejvs.2008.01.024
dc.identifier.urihttp://hdl.handle.net/10019.1/13757
dc.subjectadult
dc.subjectarticle
dc.subjectbrachiocephalic trunk
dc.subjectclinical article
dc.subjectclinical feature
dc.subjectdemography
dc.subjectendovascular surgery
dc.subjectfemale
dc.subjecthuman
dc.subjecthybridization
dc.subjectintensive care unit
dc.subjectmale
dc.subjectmortality
dc.subjectoverall survival
dc.subjectpreoperative evaluation
dc.subjectpriority journal
dc.subjectstab wound
dc.subjectstroke
dc.subjectsurgical approach
dc.subjectAdult
dc.subjectAnastomosis, Surgical
dc.subjectBlood Vessel Prosthesis
dc.subjectBlood Vessel Prosthesis Implantation
dc.subjectBrachiocephalic Trunk
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPatient Selection
dc.subjectRetrospective Studies
dc.subjectRisk Assessment
dc.subjectStents
dc.subjectSternum
dc.subjectTreatment Outcome
dc.subjectVascular Surgical Procedures
dc.subjectWounds, Gunshot
dc.subjectWounds, Stab
dc.titleSurgical and Endovascular Management of Penetrating Innominate Artery Injuries
dc.typeArticle
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