Through-and-through wire technique for endovascular damage control in traumatic proximal axillary artery transection

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Through-and-through wire technique for endovascular damage control in traumatic proximal axillary artery transection. / Rohlffs, Fiona; Larena-Avellaneda, Axel Antonio; Petersen, Jan Philipp; Debus, Eike Sebastian; Kölbel, Tilo.

in: VASCULAR, Jahrgang 23, Nr. 1, 2015, S. 99-101.

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@article{6c734c431605427f86cd6f6c7600bcff,
title = "Through-and-through wire technique for endovascular damage control in traumatic proximal axillary artery transection",
abstract = "Repair of blunt shoulder trauma with transection of the subclavian or proximal axillary artery poses a surgical challenge, especially in instable patients. Endovascular treatment for initial damage control in arterial transection has evolved as a promising technique to improve outcome, but technical success can be limited in cases of complete transection as the lesion cannot be passed by a guidewire. This report describes an endovascular approach using a through-and-through brachial-femoral wire to control complete traumatic transection of the proximal axillary artery in a hemodynamically unstable patient. Endovascular therapy is used as a bridging method for open surgical repair three days later under optimized conditions with an interdisciplinary team. The brachial-femoral guidewire technique helps to overcome limitations in endovascular therapy in patients with blunt traumatic transection of thoracic outlet arteries.",
author = "Fiona Rohlffs and Larena-Avellaneda, {Axel Antonio} and Petersen, {Jan Philipp} and Debus, {Eike Sebastian} and Tilo K{\"o}lbel",
year = "2015",
doi = "10.1177/1708538114531259",
language = "English",
volume = "23",
pages = "99--101",
journal = "VASCULAR",
issn = "1708-5381",
publisher = "SAGE Publications",
number = "1",

}

RIS

TY - JOUR

T1 - Through-and-through wire technique for endovascular damage control in traumatic proximal axillary artery transection

AU - Rohlffs, Fiona

AU - Larena-Avellaneda, Axel Antonio

AU - Petersen, Jan Philipp

AU - Debus, Eike Sebastian

AU - Kölbel, Tilo

PY - 2015

Y1 - 2015

N2 - Repair of blunt shoulder trauma with transection of the subclavian or proximal axillary artery poses a surgical challenge, especially in instable patients. Endovascular treatment for initial damage control in arterial transection has evolved as a promising technique to improve outcome, but technical success can be limited in cases of complete transection as the lesion cannot be passed by a guidewire. This report describes an endovascular approach using a through-and-through brachial-femoral wire to control complete traumatic transection of the proximal axillary artery in a hemodynamically unstable patient. Endovascular therapy is used as a bridging method for open surgical repair three days later under optimized conditions with an interdisciplinary team. The brachial-femoral guidewire technique helps to overcome limitations in endovascular therapy in patients with blunt traumatic transection of thoracic outlet arteries.

AB - Repair of blunt shoulder trauma with transection of the subclavian or proximal axillary artery poses a surgical challenge, especially in instable patients. Endovascular treatment for initial damage control in arterial transection has evolved as a promising technique to improve outcome, but technical success can be limited in cases of complete transection as the lesion cannot be passed by a guidewire. This report describes an endovascular approach using a through-and-through brachial-femoral wire to control complete traumatic transection of the proximal axillary artery in a hemodynamically unstable patient. Endovascular therapy is used as a bridging method for open surgical repair three days later under optimized conditions with an interdisciplinary team. The brachial-femoral guidewire technique helps to overcome limitations in endovascular therapy in patients with blunt traumatic transection of thoracic outlet arteries.

U2 - 10.1177/1708538114531259

DO - 10.1177/1708538114531259

M3 - SCORING: Journal article

C2 - 24729014

VL - 23

SP - 99

EP - 101

JO - VASCULAR

JF - VASCULAR

SN - 1708-5381

IS - 1

ER -