A Case of Subclavian Artery Injury Due to Blunt Trauma Treated Successfully by Endovascular Repair
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- Nishina Masayoshi
- Emergency and Critical care Center, Tokyo Women’s Medical University Medical Center East
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- Morita Satoru
- Department of Radiology, Tokyo Womenʼs Medical University Medical Center East
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- Masuda Takamitsu
- Emergency and Critical care Center, Tokyo Women’s Medical University Medical Center East
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- Suga Hiroyasu
- Emergency and Critical care Center, Tokyo Women’s Medical University Medical Center East
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- Yokoyama Toshimitsu
- Emergency and Critical care Center, Tokyo Women’s Medical University Medical Center East
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- Sato Takayuki
- Emergency and Critical care Center, Tokyo Women’s Medical University Medical Center East
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- Nishikubo Shunshi
- Emergency and Critical care Center, Tokyo Women’s Medical University Medical Center East
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Subclavian artery injury is rare, but can cause both limb-and life-threatening conditions by rupture into the thoracic cavity. We report the case of a 59-year-old man with subclavian artery injury due to blunt trauma that was successfully treated by endovascular repair. Computed tomography showed a small aneurysm in the left subclavian artery close to the fractured left clavicle. We initially attempted conservative treatment because the aneurysm was small and signs of ischemia were absent. However, the aneurysm continued to increase in size and showed a risk of rupture into the thoracic cavity, which would have been life-threatening. A covered stent was placed 2 weeks after injury following a rapid increase in size of the aneurysm with relapsed pain. The aneurysm disappeared following stent placement and patency of the subclavian artery was preserved. Endovascular repair should be considered in the early phase after subclavian artery injury, even if the lesion is small.
収録刊行物
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- 日本外科系連合学会誌
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日本外科系連合学会誌 37 (2), 244-247, 2012
日本外科系連合学会
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詳細情報 詳細情報について
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- CRID
- 1390282679322825728
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- NII論文ID
- 10030622611
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- NII書誌ID
- AN00002502
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- ISSN
- 18829112
- 03857883
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可