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Subclavian artery injuries

D W McCoy1, D S Weiman, J W Pate

  • 1Department of Surgery, University of Tennessee-Memphis College of Medicine 38163, USA.

The American Surgeon
|September 18, 1997
PubMed
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Subclavian artery injuries, often from firearms, have high mortality but can be successfully repaired. Prompt surgical control and repair are crucial for patient outcomes.

Area of Science:

  • Vascular Surgery
  • Trauma Surgery
  • Surgical Outcomes

Background:

  • Subclavian artery injuries present significant challenges in trauma care.
  • Firearm-related incidents are a common cause of these severe vascular injuries.
  • High mortality and morbidity rates necessitate effective management strategies.

Purpose of the Study:

  • To evaluate the mechanisms of injury, repair techniques, and outcomes for subclavian artery injuries.
  • To identify key principles for the successful surgical management of these complex injuries.
  • To analyze the factors contributing to mortality and morbidity in patients with subclavian artery trauma.

Main Methods:

  • Retrospective review of 32 consecutive patients with subclavian artery injuries.
  • Analysis of injury mechanisms, surgical repair methods (primary repair, graft placement), and associated injuries.

Related Experiment Videos

  • Assessment of patient outcomes, including mortality and morbidity.
  • Main Results:

    • Firearm wounds were the predominant cause of injury in this patient cohort.
    • A high mortality rate of 19% was observed.
    • Despite high mortality, successful vessel repair was achieved in most patients.
    • Associated injuries, particularly to neural structures, significantly contributed to morbidity.

    Conclusions:

    • Effective management of subclavian artery injuries requires proximal and distal control before addressing the injury site.
    • Reestablishing distal circulation via primary repair or graft placement is essential.
    • Comprehensive identification and treatment of associated injuries are critical for improving patient prognosis.