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Subclavian vessel injuries: difficult anatomy and difficult territory
J D Sciarretta1, J A Asensio2, T Vu1
1Division of Trauma Surgery and Surgical Critical Care, Dewitt-Daughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA.
Summary
Subclavian vessel injuries are rare but highly lethal thoracic vascular injuries. Despite advancements, management remains complex, and mortality rates for these trauma cases remain high.
Area of Science:
- Trauma Surgery
- Vascular Surgery
- Emergency Medicine
Background:
- Thoracic and related vascular injuries pose significant challenges in trauma care.
- Subclavian vessel injuries are particularly uncommon, yet associated with high lethality.
- These injuries can lead to substantial patient morbidity and mortality.
Purpose of the Study:
- To review the diagnosis, treatment, and outcomes of subclavian vessel injuries.
- To incorporate clinical experience into the understanding of these complex injuries.
Main Methods:
- Systematic review of existing medical literature.
- Analysis focused on diagnosis, treatment strategies, and patient outcomes.
- Inclusion of authors' practical experience with these injuries.
Main Results:
- Subclavian vessel injuries are linked to considerable morbidity and mortality.
- Survivors of transport face risks of debilitating injury and potential death.
- Management approaches are contingent upon patient stability and injury specifics.
Conclusions:
- Mortality rates for subclavian vessel injuries remain elevated despite medical progress.
- Effective management requires careful consideration of hemodynamic status, injury mechanism, and associated trauma.
- These injuries represent a critical area requiring continued research and improved treatment protocols.
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