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Subclavian and axillary artery injuries
South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|February 19, 1977
Summary
Prompt diagnosis and surgical repair are crucial for patients with subclavian or axillary artery injuries. Delayed treatment of these vascular injuries can lead to severe complications, emphasizing the need for thorough clinical evaluation.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Emergency Medicine
Background:
- Subclavian and axillary artery disruptions are serious injuries often resulting from penetrating trauma.
- Early and accurate diagnosis is critical for effective management and prevention of complications.
Observation:
- This report details the experience with 36 Black patients presenting with subclavian or axillary artery injuries.
- The average delay between injury and diagnosis was 10 days.
- Two illustrative case reports highlight the negative outcomes associated with delayed treatment.
Findings:
- Clinical presentation and surgical approaches for these arterial injuries were analyzed.
- Delayed diagnosis and treatment were associated with adverse consequences.
Implications:
- Thorough clinical assessment of penetrating neck and shoulder injuries is essential to rule out major arterial damage.
- Arch aortography should be considered when arterial injury is suspected to ensure timely intervention.