Endovascular treatment of penetrating thoracic outlet arterial injuries

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dc.contributor.authorStrauss D.C.
dc.contributor.authorBlaszczyk M.
dc.contributor.authorDe Villiers R.
dc.contributor.authorWarren B.L.
dc.date.accessioned2011-05-15T16:16:23Z
dc.date.available2011-05-15T16:16:23Z
dc.date.issued2000
dc.description.abstractObjectives: to establish the feasibility of stent-graft treatment of penetrating thoracic outlet arterial injuries. Design: prospective study. Materials and methods: forty-one patients with penetrating injuries to the carotid, subclavian and proximal axillary arteries admitted between August 1998 and May 1999 were studied. Patients requiring urgent surgical exploration for active bleeding (n = 26) were excluded. Remaining patients underwent arteriography to assess suitability for stent-graft placement. After successful stent-graft treatment clinical and sonographic follow-up were done at 1 month and thereafter 3-monthly. Results: of the 15 patients considered, 10 patients qualified for stentgraft treatment (seven male, three female, mean age 27 years). The vessels involved were subclavian artery (seven), carotid artery (two) and axillary artery (one). Seven had arteriovenous fistulae and three, pseudoaneurysms. Stent-graft treatment was successful in all 10 patients with no procedure-related complications. On mean follow-up of 7 months no complications were encountered. Conclusion: endovascular treatment shows promise as a treatment modality for thoracic outlet arterial injuries. Long-term follow-up is required for comparison to the results of standard surgical repair.
dc.description.versionArticle
dc.identifier.citationEuropean Journal of Vascular and Endovascular Surgery
dc.identifier.citation19
dc.identifier.citation5
dc.identifier.issn10785884
dc.identifier.other10.1053/ejvs.1999.1050
dc.identifier.urihttp://hdl.handle.net/10019.1/13759
dc.subjectadult
dc.subjectarteriovenous fistula
dc.subjectartery injury
dc.subjectarticle
dc.subjectcarotid artery
dc.subjectclinical article
dc.subjectechography
dc.subjectendovascular surgery
dc.subjectfalse aneurysm
dc.subjectfemale
dc.subjectfollow up
dc.subjecthuman
dc.subjectmale
dc.subjectpriority journal
dc.subjectstent
dc.subjectsubclavian artery
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAneurysm, False
dc.subjectAngiography
dc.subjectArteriovenous Fistula
dc.subjectAxillary Artery
dc.subjectBiocompatible Materials
dc.subjectBlood Vessel Prosthesis
dc.subjectBlood Vessel Prosthesis Implantation
dc.subjectCarotid Artery Injuries
dc.subjectEmbolization, Therapeutic
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectPolytetrafluoroethylene
dc.subjectProspective Studies
dc.subjectSubclavian Artery
dc.subjectThoracic Injuries
dc.subjectTreatment Outcome
dc.subjectWounds, Penetrating
dc.titleEndovascular treatment of penetrating thoracic outlet arterial injuries
dc.typeArticle
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