Department of Surgery, Frankston Hospital, Frankston, Vic. 3199, Australia.
Emerg Med Australas. 2009 Dec;21(6):515-7. doi: 10.1111/j.1742-6723.2009.01235.x.
Axillary arterial injury is a rare complication of non-recurrent glenohumeral joint dislocation. Previously this type of injury would have required open exploration of the axillary artery with associated risk of iatrogenic injury to the axillary vein or brachial plexus. We present the case of a 75-year-old lady, who following a fall in her own home, sustained a dislocation of her right shoulder joint complicated by avulsion of a branch of her axillary artery. We describe the successful endovascular management of the injury using a self-expanding stent and propose this as the preferred surgical option where the artery is not completely transected.
腋动脉损伤是复发性肩关节脱位的罕见并发症。以前，这种类型的损伤需要开放探查腋动脉，随之而来的是腋静脉或臂丛神经损伤的医源性损伤风险。我们报告了一位 75 岁女士的病例，她在家中跌倒后，右肩关节脱位，伴有腋动脉分支撕脱。我们描述了使用自扩张支架成功治疗该损伤的方法，并建议在动脉不完全横断的情况下，将其作为首选的手术方案。
