scholarly journals Ruptured axillary artery pseudoaneurysm following an anterior glenohumeral dislocation: A case report

2020 ◽  
Vol 12 (3) ◽  
Author(s):  
Diogo Rocha Carvalho ◽  
José Oliveira-Pinto ◽  
António Neves ◽  
Joana Pimenta Santos ◽  
João Rocha Neves ◽  
...  
Keyword(s):  
Axillary Artery ◽  
Late Complication ◽  
Vascular Trauma ◽  
Medical Emergency ◽  
Vascular Injuries ◽  
Endovascular Techniques ◽  
Endovascular Stenting ◽  
Artery Pseudoaneurysm ◽  
Left Axillary Artery ◽  
Glenohumeral Dislocation

Vascular injuries following anterior shoulder dislocations are rare, with an estimated incidence of 1-2%. The formation of an axillary artery pseudoaneurysm secondary to vascular trauma is a possible late complication and frequently underdiagnosed since it may remain asymptomatic for many years. A rupture of a pseudoaneurysm may occur either from the dislocation itself or after forceful reduction attempts. A ruptured pseudoaneurysm of the axillary artery is a medical emergency and may result in significative upper-limb morbidity or even patient mortality. Nowadays, endovascular techniques have progressively gained ground for the treatment of such lesion, especially in an emergency context. In the present article, the authors present the case of a 77-years-old male patient with a rupture of a pseudoaneurysm of the left axillary artery after repeated forceful reductions of an anterior glenohumeral dislocation and its treatment with percutaneous endovascular stenting.

scholarly journals Late Complications of Vascular Trauma of the Extremities in Civilian Practice: A 10 Year Experience in Cameroon

2021 ◽  
Author(s):  
Marcus Fokou ◽  
Abel Teyang
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Late Complication ◽  
Surgical Techniques ◽  
Late Complications ◽  
Vascular Trauma ◽  
Lower Limbs ◽  
Time Interval ◽  
Vascular Injuries ◽  
Civilian Practice

Abstract Background: To describe the different presentations, diagnostic evaluations, managements and outcome of late complications of vascular trauma of the extremities (LCVTE) in civilian practice . Methodology: All the patients with LCVTE who reported at the Yaounde General Hospital from January 2010 to December 2019 were included. Patients presenting with acute vascular injuries, neck vessels injuries and iatrogenic lesions or late complications of vascular access for hemodialysis were excluded. All cases were evaluated with either ultrasound and or Computer tomography and managed with various open vascular surgical techniques and their results were assessed. Results: Fifteen patients with 17 LCVTE underwent various vascular repairs. There were 2 females and 13 males.The age range was from 8 monyhs to 54 years with a mean age of 30.28 . The time interval between injury and presentation in the hospital was 3 weeks to 15 years with a mean of 3 months. Penetrating injuries secondary to stabs were the commonest cause in 94.11%. Lower limbs vessels were affected in 12/17 (70.58%), with Superficial femoral artery being the most frequently involved artery in 6(35.29 %) cases. Sixteen (94.11%) patients presented with pseudoaneurysm, 1 with solely traumatic arteriovenous fistulae. Some pseudoaneurysms presented with complications such as infection (2 cases), bleeding (3 cases) and rupture with hypovolemic choc (1 case). The only non vascular injuries associated were were 1 brachial plexus injury and 1 fracture of the distal femur shaft For the 15 lesions who underwent surgery, the most frequent surgical techniques used were, simple suturing ( 66.66 %); followed by resection and termino-terminal anastomoses (26.66%) Unfortunately one post operative mortality was registered. After a follow-up from 6 months to 10 years no late complications was detected (No recurrence, no wound infection). Only the patient with the brachial plexus injury ended up with a flail limb that didn’t improve and the patient with femoral fracture with a shortening of the limb.Conclusion: Penetrating wounds secondary to stabs were the main injuries and pseudoaneurysm was the most common late complication. Ameliorating the management environment could reduce the morbidity.

scholarly journals Life and Limb: Current Concepts in Endovascular Treatment of Extremity Trauma

2021 ◽  
Vol 38 (01) ◽  
pp. 064-074
Author(s):  
John J. Weaver ◽  
Jeffrey F.B. Chick ◽  
Eric J. Monroe ◽  
Guy E. Johnson
Keyword(s):  
Traumatic Injury ◽  
Standard Of Care ◽  
Vascular Trauma ◽  
Iatrogenic Injury ◽  
Vascular Injuries ◽  
Endovascular Management ◽  
Endovascular Techniques ◽  
Arterial Injuries ◽  
Extremity Trauma ◽  
Extremity Injuries

AbstractTraumatic injury is the leading cause of death worldwide in younger patient populations and extremity trauma with associated vascular injury accounts for many trauma-related deaths. Iatrogenic injury is also a common cause of extremity vascular trauma and the incidence of iatrogenic injury will likely increase as endovascular techniques continue to become more ubiquitous. For many vascular injuries involving the extremities, surgical repair is viewed as the standard of care. Historically, endovascular techniques did not play a role in the treatment of these vascular injuries, rather they were utilized only as part of the diagnostic assessment; however, there is an increasing trend toward endovascular management of extremity vascular trauma. No validated, widely implemented algorithm to select patients for endovascular intervention exists. Transcatheter techniques, however, play an important role in the management of these patients. For arterial injuries, embolization can be used to rapidly achieve hemostasis if the vessel can be sacrificed. More advanced endovascular techniques such as stent-graft placement may be best employed in the context of isolated, proximal extremity injuries, although there is increasing literature supporting the use of advanced techniques for more distal arterial injuries. The management of peripheral venous trauma remains controversial; however, there is growing data describing successful endovascular management of some peripheral venous injuries. The purpose of this article is to review extremity vascular trauma, concepts of injury triage, endovascular techniques, and intraprocedural considerations.

scholarly journals Left axillary artery pseudoaneurysm developing 1 year after a stab wound

2018 ◽  
Vol 26 (1) ◽  
pp. 23-25 ◽  
Author(s):  
Ufuk T. K. Korkmaz ◽  
Cemal Taşlıgıl ◽  
Recep Y. Bayraktarlı ◽  
Okan Kısaoğlu
Keyword(s):  
Stab Wound ◽  
Axillary Artery ◽  
Artery Pseudoaneurysm ◽  
Left Axillary Artery

Diagnostic workup and endovascular treatment of popliteal artery trauma

VASA ◽  
2019 ◽  
Vol 48 (1) ◽  
pp. 65-71 ◽  
Author(s):  
Cheong J. Lee ◽  
Rory Loo ◽  
Max V. Wohlauer ◽  
Parag J. Patel
Keyword(s):  
Vascular Injury ◽  
Gold Standard ◽  
Imaging Techniques ◽  
Computed Tomographic Angiography ◽  
Vascular Trauma ◽  
Endovascular Techniques ◽  
Computed Tomographic ◽  
Arterial Injuries ◽  
Arterial Trauma ◽  
Peripheral Arterial

Abstract. Although management paradigms for certain arterial trauma, such as aortic injuries, have moved towards an endovascular approach, the application of endovascular techniques for the treatment of peripheral arterial injuries continues to be debated. In the realm of peripheral vascular trauma, popliteal arterial injuries remain a devastating condition with significant rates of limb loss. Expedient management is essential and surgical revascularization has been the gold standard. Initial clinical assessment of vascular injury is aided by readily available imaging techniques such as duplex ultrasonography and high resolution computed tomographic angiography. Conventional catheter based angiography, however, remain the gold standard in the determination of vascular injury. There are limited data examining the outcomes of endovascular techniques to address popliteal arterial injuries. In this review, we examine the imaging modalities and current approaches and data regarding endovascular techniques for the management popliteal arterial trauma.

scholarly journals Managing vascular access and closure for percutaneous mechanical circulatory support

2021 ◽  
Vol 23 (Supplement_A) ◽  
pp. A10-A14
Author(s):  
Konstantinos Karatolios ◽  
Patrick Hunziker ◽  
David Schibilsky
Keyword(s):  
Mechanical Circulatory Support ◽  
Axillary Artery ◽  
Vascular Complications ◽  
Vascular Trauma ◽  
Circulatory Support ◽  
Femoral Access ◽  
Arterial Access ◽  
Femoral Arterial Access ◽  
Artery Disease ◽  
Critical Aspects

Abstract Even with current generation mechanical circulatory support (MCS) devices, vascular complications are still considerable risks in MCS that influence patients’ recovery and survival. Hence, efforts are made to reduce vascular trauma and obtaining safe and adequate arterial access using state-of-the-art techniques is one of the most critical aspects for optimizing the outcomes and efficiency of percutaneous MCS. Femoral arterial access remains necessary for numerous large-bore access procedures and is most commonly used for MCS, whereas percutaneous axillary artery access is typically considered an alternative for the delivery of MCS, especially in patients with severe peripheral artery disease. This article will address the access, maintenance, closure and complication management of large-bore femoral access and concisely describe alternative access routes.

scholarly journals Delayed Presentation Of Missed Vascular Injuries And Pitfalls In Primary Treatment– Experience Of A Vascular Surgery Unit In Pakistan

2018 ◽  
Vol 08 (04) ◽  
pp. 258-262
Author(s):  
Ahsin Manzoor Bhatti ◽  
Junaid Mansoor ◽  
Haroon Sabir Khan
Keyword(s):  
Vascular Surgery ◽  
Vascular Injury ◽  
Tertiary Care ◽  
Primary Treatment ◽  
Vascular Trauma ◽  
Adverse Outcomes ◽  
Delayed Presentation ◽  
Vascular Injuries ◽  
Vascular Repair ◽  
Missed Injuries

Objective: To analyze errors in primary treatment of vascular injuries and delayed presentations of missed vascular injuries as a surrogate indicator of need for improved vascular surgical training of upcoming general surgeons. Materials and methods: This retrospective observational study was carried out at vascular surgery department of two tertiary care hospitals of Armed Forces from Jan 2012 to June 2017. Hospital records of all patients with vascular trauma were analyzed for presence of pitfalls in primary treatment and delayed presentation of missed vascular injuries which resulted in redo surgeries or adverse outcomes. Results: Out of 256 patients with vascular injury sequel 41 had either a problem in primary treatment or presented with delayed complications of missed injuries. The omissions can be divided into: missed injuries (24/41), technical errors in initial repair (12/24), reperfusion of mangled Extremity (3/41) and non availability of a surgeon capable of undertaking vascular repair. The commonest operative fault was failure to debride the vessel adequately and vascular repair under tension. The commonest primary assessment problem was failure to timely appreciate hard signs of vascular injury. Conclusion: With better training and emphasizing the need of thorough clinical examination outcome of vascular trauma can be improved.

Deep Brachial Artery Pseudoaneurysm Following Arthroscopic Shoulder Debridement

2018 ◽  
Vol 52 (5) ◽  
pp. 378-381
Author(s):  
Andrew E. Yang ◽  
Jamie M. Hall ◽  
Gilford S. Vincent ◽  
Lowell Chambers
Keyword(s):  
Brachial Artery ◽  
Orthopedic Procedures ◽  
Vascular Injuries ◽  
Review Of The Literature ◽  
Artery Pseudoaneurysm ◽  
Pseudoaneurysm Formation ◽  
Arthroscopic Procedures

Vascular injuries resulting from arthroscopic surgeries are rare with a reported incidence of 0.005% of elective orthopedic procedures. We report a case of a 49-year-old male who developed a deep brachial artery pseudoaneurysm following an arthroscopic shoulder debridement and lysis of adhesions. He was successfully embolized with resolution of the pseudoaneurysm within 6 weeks of treatment. A review of the literature demonstrates that pseudoaneurysm formation after arthroscopic procedures is rare and pseudoaneurysms of the deep brachial artery have yet to be reported.

Axillary Artery Pseudoaneurysm After Revision Plate Osteosynthesis of a Midshaft Clavicle Fracture Nonunion

2020 ◽  
Vol 10 (3) ◽  
pp. e19.00591-e19.00591
Author(s):  
Reza Firoozabadi ◽  
Jacob Wilkerson ◽  
Jake Hemingway ◽  
Nam Tran
Keyword(s):  
Axillary Artery ◽  
Plate Osteosynthesis ◽  
Clavicle Fracture ◽  
Artery Pseudoaneurysm ◽  
Fracture Nonunion
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