Case report of emergency repair of injury to the great vessels of the clavicular region by coated endovascular stent implantation

Wang,Jian; Lao,Jie; Liu,Yangbo; Zhuo,Gaobao; Zhang,Huaibao; Chen,Lei

doi:10.3892/etm.2013.1097

July 2013 Volume 6 Issue 1

Full Size Image

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

An International Open Access Journal Devoted to General Medicine.

July 2013 Volume 6 Issue 1

Full Size Image

Case Report

Case report of emergency repair of injury to the great vessels of the clavicular region by coated endovascular stent implantation

Authors:
- Jian Wang
- Jie Lao
- Yangbo Liu
- Gaobao Zhuo
- Huaibao Zhang
- Lei Chen
View Affiliations / Copyright

Affiliations: First Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang 325000, P.R. China, Shanghai Huashan Hospital, Fudan University, Shanghai 200040, P.R. China
Pages: 61-64
|
Published online on: May 2, 2013

https://doi.org/10.3892/etm.2013.1097
Expand metrics +

Abstract

The subclavian artery leaves the thoracic cage at the outer margin of the first rib, where it becomes the axillary artery. Rupture and hemorrhage of the subclavian artery may result in ischemia and necrosis of the upper limb, brachial plexus injury, and even hemorrhagic shock or mortality. A patient with an injury to the proximal segment of the axillary artery underwent emergency repair using a coated endovascular stent graft. The patient was followed up for 13 months and examined using CT imaging, B-mode ultrasonography and electromyography to evaluate stent function and brachial plexus recovery. The endovascular stent graft remained correctly positioned and patent, extending across the injured part of the vessel. Neurolysis at 3 months after injury was effective in restoring the majority of the brachial plexus function. The coated endovascular stent graft was effective in treating the acute injury to the great vessels in the clavicular region. Follow-up of brachial plexus function is important and secondary neurolysis should be performed if necessary.

View Figures

View References

1.	Hernandez JA, Pershad A and Laufer N: Subclavian artery pseudoaneurysm successful exclusion with a covered self-expanding stent. J Invasive Cardiol. 14:278–279. 2002.PubMed/NCBI
2.	Pastores SM, Marin ML, Veith FJ, Bakal CW and Kvetan V: Endovascular stented graft repair of a pseudoaneurysm of the subclavian artery caused by percutaneous internal jugular vein cannulation: case report. Am J Crit Care. 4:472–475. 1995.PubMed/NCBI
3.	Sullivan TM, Bacharach JM, Perl J and Gray B: Endovascular management of unusual aneurysms of the axillary and subclavian arteries. J Endovasc Surg. 3:389–395. 1996. View Article : Google Scholar : PubMed/NCBI
4.	du Toit DF, Strauss DC, Blaszczyk M, de Villiers R and Warren BL: Endovascular treatment of penetrating thoracic outlet arterial injuries. Eur J Vasc Endovasc Surg. 19:489–495. 2000.PubMed/NCBI
5.	Haerle M and Gilbert A: Management of complete obstetric brachial plexus lesions. J Pediatr Orthop. 24:194–200. 2004. View Article : Google Scholar : PubMed/NCBI
6.	Hudak PL, Amadio PC and Bombardier C; Upper Extremity Collaborative Group (UECG): Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. Am J Ind Med. 29:602–608. 1996.
7.	Abouljoud MS, Obeid FN, Horst HM, Sorensen VJ, Fath JJ and Chung SK: Arterial injuries of the thoracic outlet: a ten-year experience. Am Surg. 59:590–595. 1993.PubMed/NCBI
8.	Wang KQ, Wang ZG, Yang BZ, et al: Long-term results of endovascular therapy for proximal subclavian arterial obstructive lesions. Chin Med J (Engl). 123:45–50. 2010.PubMed/NCBI
9.	Gray BH, Sullivan TM, Childs MB, Young JR and Olin JW: High incidence of restenosis/reocclusion of stents in the percutaneous treatment of long-segment superficial femoral artery disease after suboptimal angioplasty. J Vasc Surg. 25:74–83. 1997. View Article : Google Scholar
10.	Wynn Parry CB: Brachial plexus injuries. Br J Hosp Med. 32:130–132. 134–139. 1984.
11.	Dubuisson AS and Kline DG: Brachial plexus injury: A survey of 100 consecutive cases from a single service. Neurosurgery. 51:673–682. 2002.PubMed/NCBI
12.	Hentz VR and Narakas A: The results of microneurosurgical reconstruction in complete brachial plexus palsy. Assessing outcome and predicting results. Orthop Clin North Am. 19:107–114. 1988.PubMed/NCBI
13.	Kline DG: Surgical repair of peripheral nerve injury. Muscle Nerve. 13:843–852. 1990. View Article : Google Scholar : PubMed/NCBI
14.	Kandenwein JA, Kretschmer T, Engelhardt M, Richter HP and Antoniadis G: Surgical interventions for traumatic lesions of the brachial plexus: a retrospective study of 134 cases. J Neurosurg. 103:614–621. 2005. View Article : Google Scholar : PubMed/NCBI
15.	Magalon G, Bordeaux J, Legre R and Aubert JP: Emergency versus delayed repair of severe brachial plexus injuries. Clin Orthop Relat Res. 237:32–35. 1988.PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Case report of emergency repair of injury to the great vessels of the clavicular region by coated endovascular stent implantation

This article is mentioned in:

Abstract

Figure 1

Figure 2

Figure 3

Related Articles