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Papers of the Week

2021 Apr

Trauma Case Rep


Endovascular treatment of subclavian artery injury with a complex post-traumatic fistula: Case report.


Pessoa T D B, de Araujo W J B, Caron F C, Ruggeri V G M, Erzinger F L, de Brandão A B F, de Mazzoni C A, da Cunha A H V T
Trauma Case Rep. 2021 Apr; 32:100400.
PMID: 33665302.


Endovascular treatment in trauma is a promising strategy to reduce perioperative morbidity and mortality. We report the case of a gunshot wound causing an initially undiagnosed subclavian artery injury, with delayed progression to a complex, difficult-to-manage arteriovenous (AV) fistula. Placement of an encapsulated endovascular stent graft resolved the primary lesion, but persistent cervical arteriovenous communications were only repaired after multiple, sequential embolization procedures.