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Subclavian vessel injuries: difficult anatomy and difficult territory
- 作者:J. D. Sciarretta (1)
J. A. Asensio (1) T. Vu (1) F. N. Mazzini (1) J. Chandler (1) F. Herrerias (1) J. M. Verde (1) P. Menendez (1) J. M. Sanchez (1) P. Petrone (1) K. D. Stahl (1) H. Lieberman (1) C. Marini (1)
- 关键词:Vascular ; Trauma ; Subclavian ; Injury ; Exposure ; Management
- 刊名:European Journal of Trauma and Emergency Surgery
- 出版年:2011
- 出版时间:October 2011
- 年:2011
- 卷:37
- 期:5
- 页码:439-449
- 全文大小:2566KB
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- 作者单位:J. D. Sciarretta (1)
J. A. Asensio (1) T. Vu (1) F. N. Mazzini (1) J. Chandler (1) F. Herrerias (1) J. M. Verde (1) P. Menendez (1) J. M. Sanchez (1) P. Petrone (1) K. D. Stahl (1) H. Lieberman (1) C. Marini (1)
1. Division of Trauma Surgery and Surgical Critical Care, Dewitt鈥揇aughtry Family Department of Surgery, Ryder Trauma Center, University of Miami, 1800 NW 10 Avenue Suite T-247, Miami, FL, 33136-1018, USA
文摘
Introduction Thoracic and thoracic related vascular injuries represent complex challenges to the trauma surgeon. Subclavian vessel injuries, in particular, are uncommon and highly lethal. Regardless of the mechanism, such injuries can result in significant morbidity and mortality. Materials and methods Systematic review of the literature, with emphasis on the diagnosis, treatment and outcomes of these injuries, incorporating the authors鈥?experience. Conclusions These injuries are associated with significant morbidity and mortality. Patients who survive transport are subject to potentially debilitating injury and possibly death. Management of these injuries varies, depending on hemodynamic stability, mechanism of injury, and associated injuries. Despite significant advancements, mortality due to subclavian vessel injury remains high.
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