EndoVascular and Hybrid Trauma Management (EVTM) for Blunt Innominate Artery Injury with Ongoing Extravasation

Cardiovasc Intervent Radiol. 2017 Jan;40(1):130-134. doi: 10.1007/s00270-016-1440-0. Epub 2016 Oct 28.

Abstract

Innominate artery (IA) traumatic injuries are rare but life-threatening, with high mortality and morbidity. Open surgical repair is the treatment of choice but is technically demanding. We describe a case of blunt trauma to the IA with ongoing bleeding, treated successfully by combined (hybrid) endovascular and open surgery. The case demonstrates the immediate usage of modern endovascular and surgical tools as part of endovascular and hybrid trauma management.

Keywords: Endovascular repair; Hybrid surgery; Innominate artery injury; Trauma.

MeSH terms

  • Adult
  • Aorta, Thoracic / surgery
  • Brachiocephalic Trunk / injuries*
  • Brachiocephalic Trunk / surgery*
  • Computed Tomography Angiography / methods
  • Endovascular Procedures / methods*
  • Extravasation of Diagnostic and Therapeutic Materials / complications
  • Extravasation of Diagnostic and Therapeutic Materials / diagnostic imaging*
  • Humans
  • Male
  • Thoracic Injuries / complications
  • Thoracic Injuries / surgery*
  • Treatment Outcome
  • Wounds, Nonpenetrating / complications
  • Wounds, Nonpenetrating / surgery*