Management of subclavian and axillary artery injuries

Spanning the range of current therapy

Dion L. Franga, Michael L. Hawkins, J. Sheppard Mondy

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Injuries of the subclavian and proximal axillary arteries are potentially devastating but account for a minority of vascular injuries presenting to trauma centers in the United States. We have reviewed our recent experience with management of subclavian and axillary artery injuries in a state-designated level 1 academic trauma center and report four cases that illustrate the typical arterial injury patterns and the entire therapeutic armamentarium in its current iteration. Subclavian and proximal axillary artery injuries present as interesting surgical problems. A high index of suspicion for vascular injuries should be maintained given the mechanism and proximity to major vasculature. Consideration should always be given to the least invasive treatment options in stable patients. Awareness of multiple therapeutic modalities and indications for each should be an integral part of every surgeon's armamentarium. As with all vascular intervention, eventual failure is the rule rather than the exception; therefore, plans for longitudinal surveillance should be made independent of the technique used to treat the injury.

Original languageEnglish (US)
Pages (from-to)303-307
Number of pages5
JournalAmerican Surgeon
Volume71
Issue number4
StatePublished - Dec 1 2005

Fingerprint

Axillary Artery
Subclavian Artery
Wounds and Injuries
Trauma Centers
Vascular System Injuries
Therapeutics
Blood Vessels

ASJC Scopus subject areas

  • Surgery

Cite this

Franga, D. L., Hawkins, M. L., & Mondy, J. S. (2005). Management of subclavian and axillary artery injuries: Spanning the range of current therapy. American Surgeon, 71(4), 303-307.

Management of subclavian and axillary artery injuries : Spanning the range of current therapy. / Franga, Dion L.; Hawkins, Michael L.; Mondy, J. Sheppard.

In: American Surgeon, Vol. 71, No. 4, 01.12.2005, p. 303-307.

Research output: Contribution to journalArticle

Franga, DL, Hawkins, ML & Mondy, JS 2005, 'Management of subclavian and axillary artery injuries: Spanning the range of current therapy', American Surgeon, vol. 71, no. 4, pp. 303-307.
Franga, Dion L. ; Hawkins, Michael L. ; Mondy, J. Sheppard. / Management of subclavian and axillary artery injuries : Spanning the range of current therapy. In: American Surgeon. 2005 ; Vol. 71, No. 4. pp. 303-307.
@article{b9cab6f361b44ef0a7e32b30beebe276,
title = "Management of subclavian and axillary artery injuries: Spanning the range of current therapy",
abstract = "Injuries of the subclavian and proximal axillary arteries are potentially devastating but account for a minority of vascular injuries presenting to trauma centers in the United States. We have reviewed our recent experience with management of subclavian and axillary artery injuries in a state-designated level 1 academic trauma center and report four cases that illustrate the typical arterial injury patterns and the entire therapeutic armamentarium in its current iteration. Subclavian and proximal axillary artery injuries present as interesting surgical problems. A high index of suspicion for vascular injuries should be maintained given the mechanism and proximity to major vasculature. Consideration should always be given to the least invasive treatment options in stable patients. Awareness of multiple therapeutic modalities and indications for each should be an integral part of every surgeon's armamentarium. As with all vascular intervention, eventual failure is the rule rather than the exception; therefore, plans for longitudinal surveillance should be made independent of the technique used to treat the injury.",
author = "Franga, {Dion L.} and Hawkins, {Michael L.} and Mondy, {J. Sheppard}",
year = "2005",
month = "12",
day = "1",
language = "English (US)",
volume = "71",
pages = "303--307",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "4",

}

TY - JOUR

T1 - Management of subclavian and axillary artery injuries

T2 - Spanning the range of current therapy

AU - Franga, Dion L.

AU - Hawkins, Michael L.

AU - Mondy, J. Sheppard

PY - 2005/12/1

Y1 - 2005/12/1

N2 - Injuries of the subclavian and proximal axillary arteries are potentially devastating but account for a minority of vascular injuries presenting to trauma centers in the United States. We have reviewed our recent experience with management of subclavian and axillary artery injuries in a state-designated level 1 academic trauma center and report four cases that illustrate the typical arterial injury patterns and the entire therapeutic armamentarium in its current iteration. Subclavian and proximal axillary artery injuries present as interesting surgical problems. A high index of suspicion for vascular injuries should be maintained given the mechanism and proximity to major vasculature. Consideration should always be given to the least invasive treatment options in stable patients. Awareness of multiple therapeutic modalities and indications for each should be an integral part of every surgeon's armamentarium. As with all vascular intervention, eventual failure is the rule rather than the exception; therefore, plans for longitudinal surveillance should be made independent of the technique used to treat the injury.

AB - Injuries of the subclavian and proximal axillary arteries are potentially devastating but account for a minority of vascular injuries presenting to trauma centers in the United States. We have reviewed our recent experience with management of subclavian and axillary artery injuries in a state-designated level 1 academic trauma center and report four cases that illustrate the typical arterial injury patterns and the entire therapeutic armamentarium in its current iteration. Subclavian and proximal axillary artery injuries present as interesting surgical problems. A high index of suspicion for vascular injuries should be maintained given the mechanism and proximity to major vasculature. Consideration should always be given to the least invasive treatment options in stable patients. Awareness of multiple therapeutic modalities and indications for each should be an integral part of every surgeon's armamentarium. As with all vascular intervention, eventual failure is the rule rather than the exception; therefore, plans for longitudinal surveillance should be made independent of the technique used to treat the injury.

UR - http://www.scopus.com/inward/record.url?scp=20444480227&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=20444480227&partnerID=8YFLogxK

M3 - Article

VL - 71

SP - 303

EP - 307

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 4

ER -