Endovascular Management of a Combined Subclavian and Vertebral Artery Injury in an Unstable Polytrauma Patient: Case Report and Literature Review
While blunt trauma of the head and neck are a common pattern of injury, significant problems related to the prompt diagnosis and optimal management of traumatic artery injuries have been reported in the literature. While patients with major artery injuries might develop hemorrhagic shock very rapidl...
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Shiraz University of Medical Sciences
2017-01-01
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doaj-0656094718864cee8c90473a0b52a4632020-11-25T01:20:36ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602017-01-015Issue 1535744361Endovascular Management of a Combined Subclavian and Vertebral Artery Injury in an Unstable Polytrauma Patient: Case Report and Literature ReviewChristian Weber0Philipp Kobbe1Christian Herren2Andreas Mahnken3Frank Hildebrand4Hans-Christoph Pape5RWTH Aachen UniversityRWTH Aachen UniversityRWTH Aachen UniversityDept. of Diagnostic and Interventional Radiology, University Hospital, Philipps University of Marburg, Marburg, GermanyRWTH Aachen UniversityRWTH Aachen UniversityWhile blunt trauma of the head and neck are a common pattern of injury, significant problems related to the prompt diagnosis and optimal management of traumatic artery injuries have been reported in the literature. While patients with major artery injuries might develop hemorrhagic shock very rapidly, patients with blunt cerebrovascular injuries (BCVI) can present asymptomatic, but complications like basilar territory infarction, cortical blindness and death may occur. We report the life- and limb-saving management in a 57-year-old hemodynamically unstable trauma patient. The individual developed hemorrhagic shock, and other major complications, including cortical blindness, related to a posterior circulation stroke. Full recovery was achieved by immediate endovascular prosthesis for subclavian artery (SA) rupture and stenting of a traumatic vertebral artery occlusion. Endovascular and alternative treatment options are discussed and the management of subsequent sequelae associated with aggressive anticoagulation in trauma patients is reviewed, including intracranial, abdominal and other sites of secondary hemorrhage.http://beat.sums.ac.ir/article_44361_6f088bd6ddd63dfee914ab9b8dfbdc6a.pdfSubclavian ArteryVertebral ArteryVascular injuriesBlunt cerebrovascular injury (BCVI)Artery repair/stenting |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Christian Weber Philipp Kobbe Christian Herren Andreas Mahnken Frank Hildebrand Hans-Christoph Pape |
spellingShingle |
Christian Weber Philipp Kobbe Christian Herren Andreas Mahnken Frank Hildebrand Hans-Christoph Pape Endovascular Management of a Combined Subclavian and Vertebral Artery Injury in an Unstable Polytrauma Patient: Case Report and Literature Review Bulletin of Emergency and Trauma Subclavian Artery Vertebral Artery Vascular injuries Blunt cerebrovascular injury (BCVI) Artery repair/stenting |
author_facet |
Christian Weber Philipp Kobbe Christian Herren Andreas Mahnken Frank Hildebrand Hans-Christoph Pape |
author_sort |
Christian Weber |
title |
Endovascular Management of a Combined Subclavian and Vertebral Artery Injury in an Unstable Polytrauma Patient: Case Report and Literature Review |
title_short |
Endovascular Management of a Combined Subclavian and Vertebral Artery Injury in an Unstable Polytrauma Patient: Case Report and Literature Review |
title_full |
Endovascular Management of a Combined Subclavian and Vertebral Artery Injury in an Unstable Polytrauma Patient: Case Report and Literature Review |
title_fullStr |
Endovascular Management of a Combined Subclavian and Vertebral Artery Injury in an Unstable Polytrauma Patient: Case Report and Literature Review |
title_full_unstemmed |
Endovascular Management of a Combined Subclavian and Vertebral Artery Injury in an Unstable Polytrauma Patient: Case Report and Literature Review |
title_sort |
endovascular management of a combined subclavian and vertebral artery injury in an unstable polytrauma patient: case report and literature review |
publisher |
Shiraz University of Medical Sciences |
series |
Bulletin of Emergency and Trauma |
issn |
2322-2522 2322-3960 |
publishDate |
2017-01-01 |
description |
While blunt trauma of the head and neck are a common pattern of injury, significant problems related to the prompt diagnosis and optimal management of traumatic artery injuries have been reported in the literature. While patients with major artery injuries might develop hemorrhagic shock very rapidly, patients with blunt cerebrovascular injuries (BCVI) can present asymptomatic, but complications like basilar territory infarction, cortical blindness and death may occur. We report the life- and limb-saving management in a 57-year-old hemodynamically unstable trauma patient. The individual developed hemorrhagic shock, and other major complications, including cortical blindness, related to a posterior circulation stroke. Full recovery was achieved by immediate endovascular prosthesis for subclavian artery (SA) rupture and stenting of a traumatic vertebral artery occlusion. Endovascular and alternative treatment options are discussed and the management of subsequent sequelae associated with aggressive anticoagulation in trauma patients is reviewed, including intracranial, abdominal and other sites of secondary hemorrhage. |
topic |
Subclavian Artery Vertebral Artery Vascular injuries Blunt cerebrovascular injury (BCVI) Artery repair/stenting |
url |
http://beat.sums.ac.ir/article_44361_6f088bd6ddd63dfee914ab9b8dfbdc6a.pdf |
work_keys_str_mv |
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