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Damage control for subclavian artery injury

Mortality from penetrating traumas involving the subclavian vessels can be as high as 60% in pre-hospital settings. Operating room mortality is in the range of 5-30%. This paper presents a case in which a strategy for damage control was employed for a patient with an injury to the origin of the left...

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Autores principales: Góes, Adenauer Marinho de Oliveira, Maurity, Mariana Pereira, do Amaral, Carlos Alberto Costa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8276654/
https://www.ncbi.nlm.nih.gov/pubmed/34290751
http://dx.doi.org/10.1590/1677-5449.200007
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author Góes, Adenauer Marinho de Oliveira
Maurity, Mariana Pereira
do Amaral, Carlos Alberto Costa
author_facet Góes, Adenauer Marinho de Oliveira
Maurity, Mariana Pereira
do Amaral, Carlos Alberto Costa
author_sort Góes, Adenauer Marinho de Oliveira
collection PubMed
description Mortality from penetrating traumas involving the subclavian vessels can be as high as 60% in pre-hospital settings. Operating room mortality is in the range of 5-30%. This paper presents a case in which a strategy for damage control was employed for a patient with an injury to the origin of the left subclavian artery, using subclavian ligation, with no need for any other intervention, and maintaining viability of the left upper limb via collateral circulation. The authors also review surgical approaches and treatment strategies with a focus on damage control in subclavian vessel injuries.
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spelling pubmed-82766542021-07-20 Damage control for subclavian artery injury Góes, Adenauer Marinho de Oliveira Maurity, Mariana Pereira do Amaral, Carlos Alberto Costa J Vasc Bras Therapeutic Challenge Mortality from penetrating traumas involving the subclavian vessels can be as high as 60% in pre-hospital settings. Operating room mortality is in the range of 5-30%. This paper presents a case in which a strategy for damage control was employed for a patient with an injury to the origin of the left subclavian artery, using subclavian ligation, with no need for any other intervention, and maintaining viability of the left upper limb via collateral circulation. The authors also review surgical approaches and treatment strategies with a focus on damage control in subclavian vessel injuries. Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2020-09-14 /pmc/articles/PMC8276654/ /pubmed/34290751 http://dx.doi.org/10.1590/1677-5449.200007 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Therapeutic Challenge
Góes, Adenauer Marinho de Oliveira
Maurity, Mariana Pereira
do Amaral, Carlos Alberto Costa
Damage control for subclavian artery injury
title Damage control for subclavian artery injury
title_full Damage control for subclavian artery injury
title_fullStr Damage control for subclavian artery injury
title_full_unstemmed Damage control for subclavian artery injury
title_short Damage control for subclavian artery injury
title_sort damage control for subclavian artery injury
topic Therapeutic Challenge
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8276654/
https://www.ncbi.nlm.nih.gov/pubmed/34290751
http://dx.doi.org/10.1590/1677-5449.200007
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