创伤性腋动脉损伤的腔内修复治疗

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Abstract Objective: To explore the feasibility and efficacy of endovascular repair for traumatic axillary artery injury. Methods: The clinical data of 14 patients with traumatic axillary artery injury undergoing endovascular intervention from February 2008 to August 2016 were retrospectively analyzed, the angiography showed that contrast extravasation, pseudoaneurysms, vascular stenosis or occlusion. Contrast extravasation and pseudoaneurysms were treated with stent grafts, vascular stenosis or occlusion were treated with bare stents or angioplasty. Results: Operation was performed successfully in all 14 patients, The mean operation time was 45 minutes(30～80 minutes). The interventions included balloon angioplasty(n=2), covered stent implantation(n=6) and bare stent implantation(n=6). After endoluminal treatment, axillary artery blood flow recovered, no contrast extravasation or severe complications occurred. Fourteen patients were followed up for 2~36 months(mean of 19.5 months), one stent-graft occlusion occurred, which was treated with intraarterial pharmacologic thrombolysis, blood flow patency was kept in the rest of the upper limb artery. Conclusion: For traumatic axillary artery injury, percutaneous interventional treatment can rapidly repair vascular injury and restore the blood flow, the clinical effect is significant, with less invasive performance and easy to operate, and it is a safe and effective method.

Key words： Axillary artery Wounds and injuries Angioplasty, balloon

Received: 06 December 2016

PACS:	Ｒ654.3
	Ｒ815

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	ZHANG Xi-quan
	GE Shi-tang

Cite this article:

ZHANG Xi-quan,GE Shi-tang. Endovascular repair of traumatic axillary artery injury[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(9): 657-659.

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http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2017/V28/I9/657

[1]Carli A, De JC, Martineau PA. Isolated axillary artery injury due to blunt trauma in ice hockey[J]. Clin J Sport Med, 2012, 22(5): 446-447.
[2]肖嵩华，刘芙进，宋守礼，等. 锁骨下及腋动脉损伤合并臂丛神经损伤的急救与外科治疗（附10例报告）[J]. 中国矫形外科杂志，2003，11（13）：898-900.
[3]陆清声，沈毓. 血管损伤的诊治进展[J]. 临床外科杂志，2015，23（8）：624-626.
[4]蒋国民，李绍钦，赵进委，等. 创伤性动脉损伤的血管内介入治疗[J]．临床放射学杂志，2010，29（7）：947-950.
[5]Carrafiello G, Laganà D, Mangini M. Percutaneous treatment of traumatic upper-extremity arterial injuries: a single-center experience[J]. J Vasc Interv Radiol, 2011, 22(1): 34-39.
[6]Danetz JS, Cassano AD, Stoner MC, et al. Feasibility of endovascular repair in penetrating axillosubclavian injuries: a retrospective review[J]. J Vasc Surg, 2005, 41(2): 246-254.
[7]Canaud L, Marty-Ané C, Ziza V, et al. Minimum 10-year follow-up of endovascular repair for acute traumatic transection of the thoracic aorta[J]. J Thorac Cardiovasc Surg, 2014, 149(3): 825-829.
[8]Branco BC, DuBose JJ, Zhan LX, et al. Trends and outcomes of endovascular therapy in the management of civilian vascular injuries[J]. J Vasc Surg, 2014, 60(5): 1297-1307.
[9]Kouvelos GN, Papas NK, Arnaoutoglou EM, et al. Endovascular repair of profunda femoral artery false aneurysms using covered stents[J]. Vascular, 2011, 19(1): 51-54.
[10]Hershberger RC, Aulivola B, Murphy M, et al. Endovascular grafts for treatment of traumatic injury to the aortic arch and great vessels[J]. J Trauma, 2009, 67(3): 660-671.
[11]Lee BK, Jeung KW, Min YI, et al． A case of iatrogenic ilio—iliac arteriovenous fistula after percutaneons cardiopulmonary support in a patient with a tortuous iliac artery[J]. J Artif Organs, 2011, 14(2): 151-154.
[12]周兴立，尹存平，郭曙光，等. 动脉血管损伤患者的腔内治疗[J]．中华医学杂志，2013，93（9）：656-658.
[13]葛世堂，张希全，潘晓琳，等. 经皮腔内介入治疗急性肱动脉损伤26例[J]．介入放射学杂志，2017，26 （1）：69-72.
[14]Rohlffs F, Larena-Avellaneda AA, Petersen JP, et al. Through-and-through wire technique for endovascular damage control in traumatic proximal axillary artery transection[J]. Vascular, 2015, 23(1): 99-101.
[15] Zhong S, Zhang XQ, Chen Z, et al. Endovascular Repair of Blunt Popliteal Arterial Injuries[J]. Korean J Radiol, 2016, 17(5): 789-796.
[16]Shalhub S, Starnes BW, Tran NT. Endovascular treatment of axillosubclavian arterial transection in patients with blunt traumatic injury[J]. J Vasc Surg, 2011, 53(4): 1141-1144.
[17]Xenos ES, Freeman M, Stevens S, et al. Covered stents for injuries of subclavian and axillary arteries[J]. J Vasc Surg, 2003, 38(3): 451-454.