Endovascular Stenting for Arterial Injury in Trauma: A Case Report
R. Kishen *
Division of Vascular Surgery, Department of Surgery, Hospital Canselor Tuanku Muhriz, National University of Malaysia, Kuala Lumpur, Malaysia.
K. Zalikha
Division of Vascular Surgery, Department of Surgery, Hospital Canselor Tuanku Muhriz, National University of Malaysia, Kuala Lumpur, Malaysia.
K. Krishna
Division of Vascular Surgery, Department of Surgery, Hospital Canselor Tuanku Muhriz, National University of Malaysia, Kuala Lumpur, Malaysia.
S. Lenny
Division of Vascular Surgery, Department of Surgery, Hospital Canselor Tuanku Muhriz, National University of Malaysia, Kuala Lumpur, Malaysia.
M. Azim
Division of Vascular Surgery, Department of Surgery, Hospital Canselor Tuanku Muhriz, National University of Malaysia, Kuala Lumpur, Malaysia.
N. Azuan
Interventional Radiology Unit, Department of Radiology, National University of Malaysia Medical Centre, Kuala Lumpur, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
The utilization of endovascular interventions with a covered stent for vascular injuries are in rising trend. The approach was first introduced in 1991 with ballon-expandable intraluminal graft for subclavian artery injury. Axillary artery involvement rarely occurs in trauma, as it is protected in the thoracic inlet; however, injuries can cause significant morbidity and even mortality to patients. Surgical exploration and repair of axillary artery poses substantial challenge to surgeons, with potential exacerbation of iatrogenic trauma to neurovascular bundles and other surrounding structures. Endovascular technique is amenable to overcome these difficult anatomic regions. We obtained consent and describe a case of traumatic proximal axillary artery injury in a young man that was successfully managed with endovascular stenting.
Keywords: Endovascular intervention, axillary artery injury, vascular injury, covered stent