Through-and-through wire technique for endovascular damage control in traumatic proximal axillary artery transection
Repair of blunt shoulder trauma with transection of the subclavian or proximal axillary artery poses a surgical challenge, especially in instable patients. Endovascular treatment for initial damage control in arterial transection has evolved as a promising technique to improve outcome, but technical...
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| Veröffentlicht in: | Vascular 2015-02, Vol.23 (1), p.99-101 |
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| creator | Rohlffs, Fiona Larena-Avellaneda, Axel Antonio Petersen, Jan Philipp Debus, Eike Sebastian Kölbel, Tilo |
| description | Repair of blunt shoulder trauma with transection of the subclavian or proximal axillary artery poses a surgical challenge, especially in instable patients. Endovascular treatment for initial damage control in arterial transection has evolved as a promising technique to improve outcome, but technical success can be limited in cases of complete transection as the lesion cannot be passed by a guidewire. This report describes an endovascular approach using a through-and-through brachial–femoral wire to control complete traumatic transection of the proximal axillary artery in a hemodynamically unstable patient. Endovascular therapy is used as a bridging method for open surgical repair three days later under optimized conditions with an interdisciplinary team. The brachial–femoral guidewire technique helps to overcome limitations in endovascular therapy in patients with blunt traumatic transection of thoracic outlet arteries. |
| doi_str_mv | 10.1177/1708538114531259 |
| format | Article |
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Endovascular treatment for initial damage control in arterial transection has evolved as a promising technique to improve outcome, but technical success can be limited in cases of complete transection as the lesion cannot be passed by a guidewire. This report describes an endovascular approach using a through-and-through brachial–femoral wire to control complete traumatic transection of the proximal axillary artery in a hemodynamically unstable patient. Endovascular therapy is used as a bridging method for open surgical repair three days later under optimized conditions with an interdisciplinary team. 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Larena-Avellaneda, Axel Antonio ; Petersen, Jan Philipp ; Debus, Eike Sebastian ; Kölbel, Tilo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-5fe64db92db02d56c340af6c7524321ada54f6f709c39430f70e798a48effca23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Angioplasty, Balloon - instrumentation</topic><topic>Angioplasty, Balloon - methods</topic><topic>Axillary Artery - diagnostic imaging</topic><topic>Axillary Artery - injuries</topic><topic>Axillary Artery - physiopathology</topic><topic>Brachial Artery - diagnostic imaging</topic><topic>Femoral Artery - diagnostic imaging</topic><topic>Hemodynamics</topic><topic>Hemorrhage - diagnosis</topic><topic>Hemorrhage - physiopathology</topic><topic>Hemorrhage - therapy</topic><topic>Hemostatic Techniques - instrumentation</topic><topic>Humans</topic><topic>Male</topic><topic>Stents</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Vascular Access Devices</topic><topic>Vascular System Injuries - diagnosis</topic><topic>Vascular System Injuries - physiopathology</topic><topic>Vascular System Injuries - therapy</topic><topic>Wounds, Nonpenetrating - diagnosis</topic><topic>Wounds, Nonpenetrating - physiopathology</topic><topic>Wounds, Nonpenetrating - therapy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rohlffs, Fiona</creatorcontrib><creatorcontrib>Larena-Avellaneda, Axel Antonio</creatorcontrib><creatorcontrib>Petersen, Jan Philipp</creatorcontrib><creatorcontrib>Debus, Eike Sebastian</creatorcontrib><creatorcontrib>Kölbel, Tilo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Vascular</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rohlffs, Fiona</au><au>Larena-Avellaneda, Axel Antonio</au><au>Petersen, Jan Philipp</au><au>Debus, Eike Sebastian</au><au>Kölbel, Tilo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Through-and-through wire technique for endovascular damage control in traumatic proximal axillary artery transection</atitle><jtitle>Vascular</jtitle><addtitle>Vascular</addtitle><date>2015-02-01</date><risdate>2015</risdate><volume>23</volume><issue>1</issue><spage>99</spage><epage>101</epage><pages>99-101</pages><issn>1708-5381</issn><eissn>1708-539X</eissn><abstract>Repair of blunt shoulder trauma with transection of the subclavian or proximal axillary artery poses a surgical challenge, especially in instable patients. Endovascular treatment for initial damage control in arterial transection has evolved as a promising technique to improve outcome, but technical success can be limited in cases of complete transection as the lesion cannot be passed by a guidewire. This report describes an endovascular approach using a through-and-through brachial–femoral wire to control complete traumatic transection of the proximal axillary artery in a hemodynamically unstable patient. Endovascular therapy is used as a bridging method for open surgical repair three days later under optimized conditions with an interdisciplinary team. The brachial–femoral guidewire technique helps to overcome limitations in endovascular therapy in patients with blunt traumatic transection of thoracic outlet arteries.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>24729014</pmid><doi>10.1177/1708538114531259</doi><tpages>3</tpages></addata></record> |
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| ispartof | Vascular, 2015-02, Vol.23 (1), p.99-101 |
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| source | MEDLINE; SAGE Complete |
| subjects | Angioplasty, Balloon - instrumentation Angioplasty, Balloon - methods Axillary Artery - diagnostic imaging Axillary Artery - injuries Axillary Artery - physiopathology Brachial Artery - diagnostic imaging Femoral Artery - diagnostic imaging Hemodynamics Hemorrhage - diagnosis Hemorrhage - physiopathology Hemorrhage - therapy Hemostatic Techniques - instrumentation Humans Male Stents Tomography, X-Ray Computed Treatment Outcome Vascular Access Devices Vascular System Injuries - diagnosis Vascular System Injuries - physiopathology Vascular System Injuries - therapy Wounds, Nonpenetrating - diagnosis Wounds, Nonpenetrating - physiopathology Wounds, Nonpenetrating - therapy Young Adult |
| title | Through-and-through wire technique for endovascular damage control in traumatic proximal axillary artery transection |
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