PDF(Pubmed)
Abstract：
BACKGROUND: Subclavian artery (SCA) injuries, though rare, carry significant morbidity and mortality risks due to significant blood loss causing hypovolemic shock. Early diagnosis and adequate treatment are crucial to minimize bleeding and associated morbidity. Recent advances in endovascular techniques offer faster and more accurate treatment options compared to traditional open surgical repair. This study demonstrates the efficacy of endovascular treatment in 2 cases of SCA injury and reviews its indications, limitations, and precautions.
METHODS: A 69-year-old man presented with a penetrating SCA injury from a steel bar, and a 38-year-old woman presented with a blunt SCA injury caused by a fall. Both patients were hemodynamically unstable upon presentation.
METHODS: Both patients were diagnosed with SCA injuries. The man had a penetrating injury, while the woman had a blunt injury, both resulting in hemodynamic instability and significant risk of hypovolemic shock.
METHODS: Endovascular techniques, including the use of covered stent grafts, were employed to manage the injuries. These techniques allowed for rapid and efficient treatment, reducing the need for open surgical intervention.
RESULTS: Both patients were successfully treated using endovascular methods and were discharged without any complications. The endovascular approach minimized blood loss, transfusion needs, and hospital stay.
CONCLUSIONS: This study demonstrates the effectiveness of endovascular techniques in rapidly diagnosing, bridging, and definitively treating SCA injuries, suggesting their use as a first-line therapy.
METHODS: A 69-year-old man presented with a penetrating SCA injury from a steel bar, and a 38-year-old woman presented with a blunt SCA injury caused by a fall. Both patients were hemodynamically unstable upon presentation.
METHODS: Both patients were diagnosed with SCA injuries. The man had a penetrating injury, while the woman had a blunt injury, both resulting in hemodynamic instability and significant risk of hypovolemic shock.
METHODS: Endovascular techniques, including the use of covered stent grafts, were employed to manage the injuries. These techniques allowed for rapid and efficient treatment, reducing the need for open surgical intervention.
RESULTS: Both patients were successfully treated using endovascular methods and were discharged without any complications. The endovascular approach minimized blood loss, transfusion needs, and hospital stay.
CONCLUSIONS: This study demonstrates the effectiveness of endovascular techniques in rapidly diagnosing, bridging, and definitively treating SCA injuries, suggesting their use as a first-line therapy.
摘要：
背景：锁骨下动脉（SCA）损伤，虽然罕见，由于大量失血导致低血容量性休克，因此具有显著的发病率和死亡率风险。早期诊断和适当的治疗对于减少出血和相关发病率至关重要。与传统的开放式手术修复相比，血管内技术的最新进展提供了更快，更准确的治疗选择。本研究对2例SCA损伤患者行血管内治疗的疗效及适应证进行综述。局限性,和预防措施。
方法：一名69岁的男子因钢筋造成穿透性SCA损伤，一名38岁的妇女因跌倒而受伤。两名患者在就诊时血流动力学不稳定。
方法：两名患者均被诊断为SCA损伤。这个人有穿透性伤,当那个女人受伤时，两者均导致血流动力学不稳定和低血容量性休克的显著风险。
方法：血管内技术，包括使用覆膜支架移植物，被雇用来管理伤害。这些技术可以快速有效地治疗，减少开放手术干预的需要。
结果：两例患者均采用血管内方法成功治疗，均出院，无任何并发症。血管内方法减少了失血,输血需要,住院。
结论：这项研究证明了血管内技术在快速诊断，桥接，明确治疗SCA损伤，建议将其用作一线治疗。
方法：一名69岁的男子因钢筋造成穿透性SCA损伤，一名38岁的妇女因跌倒而受伤。两名患者在就诊时血流动力学不稳定。
方法：两名患者均被诊断为SCA损伤。这个人有穿透性伤,当那个女人受伤时，两者均导致血流动力学不稳定和低血容量性休克的显著风险。
方法：血管内技术，包括使用覆膜支架移植物，被雇用来管理伤害。这些技术可以快速有效地治疗，减少开放手术干预的需要。
结果：两例患者均采用血管内方法成功治疗，均出院，无任何并发症。血管内方法减少了失血,输血需要,住院。
结论：这项研究证明了血管内技术在快速诊断，桥接，明确治疗SCA损伤，建议将其用作一线治疗。
