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锁骨下/腋动脉创伤后胸段血管损伤行血管腔内修复术,随后出现臂丛神经损伤,这会改善治疗效果吗?

Does endovascular repair of post-traumatic thoracic vascular injury of the subclavian/axillary arteries followed by brachial plexus injury improve outcome?

作者信息

Hazra Darpanarayan, Kota Albert Abhinay, Raj Sam Pon, Premkumar Prabhu, Selvaraj Andrew Dheepak, Agarwal Sunil, Thomas Binu Prathap

机构信息

Department of Vascular Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu 632004 India.

Department of Hand and Leprosy Reconstructive Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu 632004 India.

出版信息

Indian J Thorac Cardiovasc Surg. 2022 May;38(3):294-299. doi: 10.1007/s12055-021-01278-y. Epub 2021 Dec 3.

Abstract

Traumatic injuries to the axillary artery or subclavian artery along with a brachial plexus injury are infrequent. Although the traditional management has been conservative because of robust collaterals, the functional improvement of the limb depends on the degree of brachial plexus injury and on the revascularization status. We report three cases of endovascular repair post-traumatic axillo-subclavian artery injuries followed by brachial plexus injury with good functional outcomes. Endovascular repair of post-traumatic subclavian and axillary artery injuries followed by brachial plexus injury is safe and feasible, and improves limb outcomes.

摘要

腋动脉或锁骨下动脉创伤性损伤合并臂丛神经损伤并不常见。尽管由于存在丰富的侧支循环,传统的治疗方法一直较为保守,但肢体功能的改善取决于臂丛神经损伤的程度和血管再通情况。我们报告了3例创伤性腋-锁骨下动脉损伤后行血管内修复并伴有臂丛神经损伤的病例,其功能预后良好。创伤性锁骨下动脉和腋动脉损伤后行血管内修复并伴有臂丛神经损伤是安全可行的,且能改善肢体预后。

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