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Sabbagh CN, Chowdhury MM, Durrani A, et al. A Novel Combined Hybrid Approach to Enable Revascularisation of a Trauma-Induced Subclavian Artery Injury. EJVES Short Rep. 2016;32:18-20doi: 10.1016/j.ejvssr.2016.03.006.
Sabbagh, C. N., Chowdhury, M. M., Durrani, A., Van Rensburg, L., Koo, B., & Coughlin, P. A. (2016). A Novel Combined Hybrid Approach to Enable Revascularisation of a Trauma-Induced Subclavian Artery Injury. EJVES short reports, 3218-20. https://doi.org/10.1016/j.ejvssr.2016.03.006
Sabbagh, C N, et al. "A Novel Combined Hybrid Approach to Enable Revascularisation of a Trauma-Induced Subclavian Artery Injury." EJVES short reports vol. 32 (2016): 18-20. doi: https://doi.org/10.1016/j.ejvssr.2016.03.006
Sabbagh CN, Chowdhury MM, Durrani A, Van Rensburg L, Koo B, Coughlin PA. A Novel Combined Hybrid Approach to Enable Revascularisation of a Trauma-Induced Subclavian Artery Injury. EJVES Short Rep. 2016 May 10;32:18-20. doi: 10.1016/j.ejvssr.2016.03.006. eCollection 2016. PMID: 28856310; PMCID: PMC5576001.
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EJVES Short Rep. 2016 May 10;32:18-20. doi: 10.1016/j.ejvssr.2016.03.006. eCollection 2016.

A Novel Combined Hybrid Approach to Enable Revascularisation of a Trauma-Induced Subclavian Artery Injury.

EJVES short reports

C N Sabbagh, M M Chowdhury, A Durrani, L Van Rensburg, B Koo, P A Coughlin

Affiliations

  1. Division of Vascular and Endovascular Surgery, Addenbrooke's Hospital, Cambridge University Hospital Trust, Cambridge, UK.
  2. Division of Plastic Surgery, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK.
  3. Division of Orthopaedic Surgery, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK.
  4. Division of Interventional Radiology, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK.

PMID: 28856310 PMCID: PMC5576001 DOI: 10.1016/j.ejvssr.2016.03.006

Abstract

INTRODUCTION: This case highlights the complexity of upper limb revascularization after a subclavian artery traumatic injury and strengthens the role of a hybrid/multi-disciplinary approach to such injuries.

REPORT: A 45-year-old male patient presented with an acute right upper limb following a traumatic injury to the right subclavian artery due to a motor vehicle accident (MVA). Associated injuries included an unstable cervical spine injury, a large open right clavicular injury, and a brain injury, which limited the potential revascularisation options available. The arm was revascularised using a hybrid endovascular/open surgical approach, namely embolization of the proximal subclavian artery (just distal to vertebral artery) and a right common femoral artery to distal axillary artery bypass using prosthetic material.

DISCUSSION: Blunt injuries to the subclavian artery are often high impact, complex and associated with multiple injuries to surrounding structures, which limit the role of standard procedures used in the elective setting. This case highlights the role of multidisciplinary team involvement, using a hybrid approach and a novel distal inflow site to restore upper limb perfusion.

Keywords: Ischemia; Revascularization; Trauma; Upper limb

References

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