Endovascular treatment of axillosubclavian arterial injuries is a safe alternative to open repair
Injuries to the axillosubclavian arteries are rare, comprising 5% of all extremity trauma. This study aims to examine contemporary outcomes of traumatic axillosubclavian injuries. A retrospective review was performed on patients admitted with innominate, subclavian, and/or axillary artery injuries t...
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| Veröffentlicht in: | The American journal of surgery 2022-12, Vol.224 (6), p.1385-1387 |
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| creator | Siada, Sammy S. Dirks, Rachel C. Davis, James W. O'Banion, Leigh Ann |
| description | Injuries to the axillosubclavian arteries are rare, comprising 5% of all extremity trauma. This study aims to examine contemporary outcomes of traumatic axillosubclavian injuries.
A retrospective review was performed on patients admitted with innominate, subclavian, and/or axillary artery injuries to a level 1 trauma center from 2011 to 2021. Patients undergoing endovascular repair were compared to those with open repair.
Thirty two patients met inclusion criteria. Injuries were approached open in 22 (59%) cases and endovascular in 10 (27%). There was no difference in 30-day mortality or hospital length of stay between endovascular and open repair. Endovascular repairs had shorter operative times (1.9 vs 3.1 h, p = 0.009) and lower blood loss (72 vs 1662 mL, p |
| doi_str_mv | 10.1016/j.amjsurg.2022.10.034 |
| format | Article |
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A retrospective review was performed on patients admitted with innominate, subclavian, and/or axillary artery injuries to a level 1 trauma center from 2011 to 2021. Patients undergoing endovascular repair were compared to those with open repair.
Thirty two patients met inclusion criteria. Injuries were approached open in 22 (59%) cases and endovascular in 10 (27%). There was no difference in 30-day mortality or hospital length of stay between endovascular and open repair. Endovascular repairs had shorter operative times (1.9 vs 3.1 h, p = 0.009) and lower blood loss (72 vs 1662 mL, p < 0.001).
Endovascular repair of axillosubclavian arterial injuries demonstrate similar outcomes to open repair. Significantly shorter operative times and lower blood loss suggest potential decreased morbidity.
•Endovascular treatment of axillosubclavian injuries is increasingly being utilized.•Endovascular treatment of axillosubclavian injuries is safe.•Endovascular treatment results in shorter operative times and lower blood loss.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2022.10.034</identifier><identifier>PMID: 36270818</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Arteries ; Axillary ; Axillary Artery - surgery ; Blood ; Blood Vessel Prosthesis Implantation ; Cardiovascular system ; Endovascular Procedures ; Hospitals ; Humans ; Injuries ; Innominate ; Length of stay ; Morbidity ; Mortality ; Orthopedics ; Ostomy ; Patients ; Retrospective Studies ; Stents ; Subclavian ; Surgical site infections ; Trauma ; Trauma centers ; Treatment Outcome ; Vascular System Injuries - surgery ; Vascular trauma ; Veins & arteries</subject><ispartof>The American journal of surgery, 2022-12, Vol.224 (6), p.1385-1387</ispartof><rights>2022 Elsevier Inc.</rights><rights>Copyright © 2022 Elsevier Inc. All rights reserved.</rights><rights>2022. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-acb824c6ec069d3963aec082152bec988115319de8a6ded64ee33e9645ddbdab3</citedby><cites>FETCH-LOGICAL-c393t-acb824c6ec069d3963aec082152bec988115319de8a6ded64ee33e9645ddbdab3</cites><orcidid>0000-0002-0407-2883</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961022006651$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36270818$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Siada, Sammy S.</creatorcontrib><creatorcontrib>Dirks, Rachel C.</creatorcontrib><creatorcontrib>Davis, James W.</creatorcontrib><creatorcontrib>O'Banion, Leigh Ann</creatorcontrib><title>Endovascular treatment of axillosubclavian arterial injuries is a safe alternative to open repair</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Injuries to the axillosubclavian arteries are rare, comprising 5% of all extremity trauma. This study aims to examine contemporary outcomes of traumatic axillosubclavian injuries.
A retrospective review was performed on patients admitted with innominate, subclavian, and/or axillary artery injuries to a level 1 trauma center from 2011 to 2021. Patients undergoing endovascular repair were compared to those with open repair.
Thirty two patients met inclusion criteria. Injuries were approached open in 22 (59%) cases and endovascular in 10 (27%). There was no difference in 30-day mortality or hospital length of stay between endovascular and open repair. Endovascular repairs had shorter operative times (1.9 vs 3.1 h, p = 0.009) and lower blood loss (72 vs 1662 mL, p < 0.001).
Endovascular repair of axillosubclavian arterial injuries demonstrate similar outcomes to open repair. Significantly shorter operative times and lower blood loss suggest potential decreased morbidity.
•Endovascular treatment of axillosubclavian injuries is increasingly being utilized.•Endovascular treatment of axillosubclavian injuries is safe.•Endovascular treatment results in shorter operative times and lower blood loss.</description><subject>Arteries</subject><subject>Axillary</subject><subject>Axillary Artery - surgery</subject><subject>Blood</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>Cardiovascular system</subject><subject>Endovascular Procedures</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Injuries</subject><subject>Innominate</subject><subject>Length of stay</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Orthopedics</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>Subclavian</subject><subject>Surgical site infections</subject><subject>Trauma</subject><subject>Trauma centers</subject><subject>Treatment Outcome</subject><subject>Vascular System Injuries - surgery</subject><subject>Vascular trauma</subject><subject>Veins & arteries</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkU-PFCEQxYlx446rH0FD4sVLj_zpoeFkzGZXTTbxomdSDTWGDt2MQE_cby-TGffgxRNF1a8e5D1C3nC25YyrD9MW5qms-edWMCFab8tk_4xsuB5Mx7WWz8mGMSY6ozi7Ji9LmdqV816-INdSiYFprjcE7hafjlDcGiHTmhHqjEulaU_hd4gxlXV0EY4BFgq5Yg4QaVimNQcsNBQKtMAeKcQ2W6CGI9KaaDrgQjMeIORX5GoPseDry3lDftzffb_90j18-_z19tND56SRtQM3atE7hY4p46VRElqpBd-JEZ3RmvOd5MajBuXRqx5RSjSq33k_ehjlDXl_1j3k9GvFUu0cisMYYcG0FisGMSjZhERD3_2DTmltv48nqh8Ma_7xRu3OlMuplIx7e8hhhvxoObOnDOxkLxnYUwandsug7b29qK_jjP5p66_pDfh4BrDZcQyYbXEBF4c-ZHTV-hT-88Qf8YqcPw</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Siada, Sammy S.</creator><creator>Dirks, Rachel C.</creator><creator>Davis, James W.</creator><creator>O'Banion, Leigh Ann</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0407-2883</orcidid></search><sort><creationdate>202212</creationdate><title>Endovascular treatment of axillosubclavian arterial injuries is a safe alternative to open repair</title><author>Siada, Sammy S. ; Dirks, Rachel C. ; Davis, James W. ; O'Banion, Leigh Ann</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-acb824c6ec069d3963aec082152bec988115319de8a6ded64ee33e9645ddbdab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Arteries</topic><topic>Axillary</topic><topic>Axillary Artery - surgery</topic><topic>Blood</topic><topic>Blood Vessel Prosthesis Implantation</topic><topic>Cardiovascular system</topic><topic>Endovascular Procedures</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Injuries</topic><topic>Innominate</topic><topic>Length of stay</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Orthopedics</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>Subclavian</topic><topic>Surgical site infections</topic><topic>Trauma</topic><topic>Trauma centers</topic><topic>Treatment Outcome</topic><topic>Vascular System Injuries - surgery</topic><topic>Vascular trauma</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Siada, Sammy S.</creatorcontrib><creatorcontrib>Dirks, Rachel C.</creatorcontrib><creatorcontrib>Davis, James W.</creatorcontrib><creatorcontrib>O'Banion, Leigh Ann</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Siada, Sammy S.</au><au>Dirks, Rachel C.</au><au>Davis, James W.</au><au>O'Banion, Leigh Ann</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovascular treatment of axillosubclavian arterial injuries is a safe alternative to open repair</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2022-12</date><risdate>2022</risdate><volume>224</volume><issue>6</issue><spage>1385</spage><epage>1387</epage><pages>1385-1387</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Injuries to the axillosubclavian arteries are rare, comprising 5% of all extremity trauma. This study aims to examine contemporary outcomes of traumatic axillosubclavian injuries.
A retrospective review was performed on patients admitted with innominate, subclavian, and/or axillary artery injuries to a level 1 trauma center from 2011 to 2021. Patients undergoing endovascular repair were compared to those with open repair.
Thirty two patients met inclusion criteria. Injuries were approached open in 22 (59%) cases and endovascular in 10 (27%). There was no difference in 30-day mortality or hospital length of stay between endovascular and open repair. Endovascular repairs had shorter operative times (1.9 vs 3.1 h, p = 0.009) and lower blood loss (72 vs 1662 mL, p < 0.001).
Endovascular repair of axillosubclavian arterial injuries demonstrate similar outcomes to open repair. Significantly shorter operative times and lower blood loss suggest potential decreased morbidity.
•Endovascular treatment of axillosubclavian injuries is increasingly being utilized.•Endovascular treatment of axillosubclavian injuries is safe.•Endovascular treatment results in shorter operative times and lower blood loss.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36270818</pmid><doi>10.1016/j.amjsurg.2022.10.034</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0002-0407-2883</orcidid></addata></record> |
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| ispartof | The American journal of surgery, 2022-12, Vol.224 (6), p.1385-1387 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Arteries Axillary Axillary Artery - surgery Blood Blood Vessel Prosthesis Implantation Cardiovascular system Endovascular Procedures Hospitals Humans Injuries Innominate Length of stay Morbidity Mortality Orthopedics Ostomy Patients Retrospective Studies Stents Subclavian Surgical site infections Trauma Trauma centers Treatment Outcome Vascular System Injuries - surgery Vascular trauma Veins & arteries |
| title | Endovascular treatment of axillosubclavian arterial injuries is a safe alternative to open repair |
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