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, Vol. 23, No. 1, 2015, p. 99-101.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -