Subclavian vessel injuries: Difficult anatomy and difficult territory

J. D. Sciarretta, J. A. Asensio, T. Vu, F. N. Mazzini, J. Chandler, F. Herrerias, J. M. Verde, P. Menendez, J. M. Sanchez, P. Petrone, K. D. Stahl, H. Lieberman, C. Marini

Research output: Contribution to journalReview article

3 Scopus citations

Abstract

Introduction: Thoracic and thoracic related vascular injuries represent complex challenges to the trauma surgeon. Subclavian vessel injuries, in particular, are uncommon and highly lethal. Regardless of the mechanism, such injuries can result in significant morbidity and mortality. Materials and methods: Systematic review of the literature, with emphasis on the diagnosis, treatment and outcomes of these injuries, incorporating the authors' experience. Conclusions: These injuries are associated with significant morbidity and mortality. Patients who survive transport are subject to potentially debilitating injury and possibly death. Management of these injuries varies, depending on hemodynamic stability, mechanism of injury, and associated injuries. Despite significant advancements, mortality due to subclavian vessel injury remains high.

Original languageEnglish (US)
Pages (from-to)439-449
Number of pages11
JournalEuropean Journal of Trauma and Emergency Surgery
Volume37
Issue number5
DOIs
StatePublished - Oct 1 2011
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Emergency Medicine
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine

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    Sciarretta, J. D., Asensio, J. A., Vu, T., Mazzini, F. N., Chandler, J., Herrerias, F., Verde, J. M., Menendez, P., Sanchez, J. M., Petrone, P., Stahl, K. D., Lieberman, H., & Marini, C. (2011). Subclavian vessel injuries: Difficult anatomy and difficult territory. European Journal of Trauma and Emergency Surgery, 37(5), 439-449. https://doi.org/10.1007/s00068-011-0133-2