Endovascular Management of Blunt Axillo-subclavian Arterial Injuries: A Report of Two Cases

Abstract

Blunt axillo-subclavian arterial injuries are typically associated with high-energy trauma. However, we encountered two cases of such arterial injuries resulting from relatively low-energy mechanisms. Patient 1 presented occlusion and extravasation of the right subclavian artery, concomitant with a clavicular fracture sustained in a bicycle accident. Patient 2 revealed occlusion of the left axillary artery, accompanied by a humeral fracture, after falling while attempting to sit on a chair at home. Endovascular repair was performed in both cases using a VIABAHN stent graft via the ipsilateral brachial approach. The postoperative courses were uneventful. Endovascular stent grafting is probably a valuable therapeutic option in emergency settings.