Comparison of traditional vascular reconstruction with covered stent in the treatment of subclavian artery injury

作     者：Xuan Tian Jian-Long Liu Wei Jia Peng Jiang Zhi-Yuan Cheng Yun-Xin Zhang Jin-Yong Li Chen-Yang Tian Tian Xuan;Liu Jian-Long;Jia Wei;Jiang Peng;Cheng Zhi-Yuan;Zhang Yun-Xin;Li Jin-Yong;Tian Chen-Yang

作者机构：Department of Vascular SurgeryBeijing Jishuitan HospitalBeijing 100035China 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2020年第23卷第1期

页      面：25-28页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Subclavian artery injury Vascular transplantation Covered stent 

摘      要：Purpose:To explore the significance of traditional vascular reconstruction and covered stent for limb salvage after subclavian artery ***:Patients with subclavian artery injury admitted to Beijing Jishuitan Hospital from January 2010 to December 2018 were retrospectively *** the injuries have been confirmed by intraoperative exploration,computed tomography angiography or digital subtraction *** or partial amputation injuries were *** artery defect or partial intimal damage was treated by interventional implantation,while other patients received open surgeries,including direct suture of small defect less than 2 cm and transplantation with autologous vein or artificial blood when the defect was more than 2 *** were divided into open surgery group and stent implantation group based on the treatment they *** were followed up at 2 weeks(first stage)and 6 months(second stage)after operation to investigate limb *** s t-test was used to compare the general data between two groups and Chi-square test to analyze the rate of limb ***:Altogether 50 cases of subclavian artery injury were treated,including 36 cases of open surgery and 14 cases of stent *** of nerve injury was observed in 27 cases(75.0%)in open surgery group and 12 cases(85.7%)in stent implantation *** developed in 3 cases with open surgery and 1 case with stent *** the rate of successful limb salvage was respectively 91.7%(33/36)and 92.9%(13/14),revealing no significant difference(p0.05).Conclusion:Rapid reconstruction of blood circulation is crucial following subclavian artery injury,no matter what kinds of treatment strategies have been *** stent implantation can achieve a good effect for limb salvage.