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| DOI | 10.35687/S2452-45492021004826 | ||||
| Año | 2021 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Introduction: Conventional subclavian artery repair is challenging, with 24% morbidity and 5% to 25% mortality. Endovascular techniques allow subclavian repair from a distal artery, reducing the associated high morbidity and mortality. Aim: To evaluate the long-term results of endovascular treatment of traumatic lesions of the subclavian artery. Materials and Method: Descriptive, observational study (single-center case series review) of patients undergoing endovascular repair of the subclavian artery due to traumatic injuries, using two techniques (expandable balloon stent and endovascular balloon occlusion), during a period of 12 years (2007-2019), at the Dr. Eduardo Pereira Hospital in Valparaíso, Chile. Results: 15 consecutive procedures were performed, elective (86.67%), emergencies (13.33%), male sex (66.67%), female (33.33%), average age of 55.8 years (range 26-69), approach used: common femoral artery (93.33%) and brachial artery (6.67%), etiology of the lesions: iatrogenesis (66.67%) and trauma (33.33%), repair by expandable balloon stent (66.67%), balloon occlusion (33.33%), technical success rate (100%), primary patency rate at 1, 5, 10 years of 100%, 93.33% and 86.66% respectively, mean follow-up (61.4 months), average hospital stay (3.3 days), average surgical time (75 min), there was no cardiovascular, central neu-rological morbidity or mortality related to the procedure. Discussion: Endovascular techniques eliminate the need for surgical dissection, reducing the risk of injury to adjacent structures, especially in multiple trauma patients. Conclusion: In properly selected patients, the endovascular technique represents an excellent therapeutic strategy for the repair of subclavian artery lesions.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| Bombin F., Juan R. | Hombre |
Hospital Dr. Eduardo Pereira Ramírez - Chile
Universidad de Valparaíso - Chile Hospital Dr. Eduardo Pereira - Chile |
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| Kotlik A., Alejandro J. | Hombre |
Hospital Dr. Eduardo Pereira Ramírez - Chile
Universidad de Valparaíso - Chile Hospital Dr. Eduardo Pereira - Chile |
|
| 1 | Hernández, Luis C.M. | Hombre |
Hospital Dr. Eduardo Pereira - Chile
Universidad de Valparaíso - Chile |
| 1 | Hernández M., Luis C. | Hombre |
Hospital Dr. Eduardo Pereira Ramírez - Chile
Universidad de Valparaíso - Chile Hospital Dr. Eduardo Pereira - Chile |
| 2 | Bombin, Juan R.F. | Hombre |
Hospital Dr. Eduardo Pereira - Chile
Universidad de Valparaíso - Chile Hospital Dr. Eduardo Pereira Ramírez - Chile |
| 3 | Kotlik, Alejandro J.A. | Hombre |
Hospital Dr. Eduardo Pereira - Chile
Universidad de Valparaíso - Chile Hospital Dr. Eduardo Pereira Ramírez - Chile |