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2016, Number 3

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Revista Cubana de Cirugía 2016; 55 (3)

Supraclavicular approach for subclavian vascular injuries

Sosa MJG, Ernand RS, García RJL, Estrada RMA

Language: Spanish
References: 14
Page: 211-219
PDF size: 317.45 Kb.


ABSTRACT

Introduction: traumatic injury of the subclavian vessels is rare. The main cause is focused on ballistic trauma and pierced-sharp objects. Bleeding or hematoma in the areas of the neck base or the upper chest lead us to think of this injury. Treatment depends mainly on the patient's hemodynamic stability and available resources. This may be conventional surgical or endovascular repair.
Objectives: expose the benefits of supraclavicular approach to the urgent surgical treatment of the subclavian vessel lesions.
Methods: a prospective and retro observational study was performed to gather information from patients treated for traumatic lesion of subclavian vessels in our hospital from November 2011 to October 2015.
Results: out of the operated patients, 10 were men and one was woman. All lesions were drilled-sharp objects. The most common type of injury was the subclavian vein laceration (63.6%). The most commonly used approach was the cervicotomy in the lower third with supraclavicular clavicotomy clavicectomía and further extension with osteosynthesis. There were 3 deaths (27.3%).
Conclusions: subclavian vessel wounds most frequently occur due to perforatingcutting objects and has a high mortality. The supraclavicular approach was the best access for repair. The promptness of treatment was the variable that most influenced the morbidity and mortality of this condition.


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