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Journals / Turkish journal of vascular surgery / 2021 / Cilt: 30 - Sayı: 1

Hybrid procedure of a subclavian artery pseudoaneurysm by shrapnel injury: A case report

Mehmet ATAY
Onur SAYDAM
Burak AÇIKGÖZ
Saygın TÜRKYILMAZ
Pages
60–62
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In conclusion, endovascular interventions can be a treatment of choice as a hybrid procedure after an incomplete surgery or in high-risk patients owing to its easy periprocedural access and low risk.

📌 3 Key Takeaways

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Objective & Hypothesis:In this article, we present a case of hybrid procedure in which a left subclavian artery pseudoaneurysm and arteriovenous fistula (AVF) by shrapnel injury was treated by endovascular procedure following an unsuccessful surgery.
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Key Findings & Data:The patient who previously underwent emergent left femoral artery graft interposition due to shrapnel injury was referred to our department with a palpable mass starting from the left clavicle region to the arm and severe edema in his left upper limb.
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Conclusion & Impact:In conclusion, endovascular interventions can be a treatment of choice as a hybrid procedure after an incomplete surgery or in high-risk patients owing to its easy periprocedural access and low risk.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

In this article, we present a case of hybrid procedure in which a left subclavian artery pseudoaneurysm and arteriovenous fistula (AVF) by shrapnel injury was treated by endovascular procedure following an unsuccessful surgery. The patient who previously underwent emergent left femoral artery graft interposition due to shrapnel injury was referred to our department with a palpable mass starting from the left clavicle region to the arm and severe edema in his left upper limb. Computed tomography angiography (CTA) and peripheral arteriography (PAG) revealed a subclavian artery pseudoaneurysm and AVF. Pseudoaneurysm and AVF was repaired. Hematoma was evacuated. Repeated PAG showed extravasation with a persistent AVF. A stent graft was deployed into the subclavian artery. The patient was discharged without any complication. Follow-up CTA showed subclavian artery patency. In conclusion, endovascular interventions can be a treatment of choice as a hybrid procedure after an incomplete surgery or in high-risk patients owing to its easy periprocedural access and low risk.

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Cite This Article

ATAY, M., SAYDAM, O., AÇIKGÖZ, B., TÜRKYILMAZ, S. (2021). Hybrid procedure of a subclavian artery pseudoaneurysm by shrapnel injury: A case report. Turkish journal of vascular surgery, Cilt: 30 - Sayı: 1, 60–62. https://ajindex.com/articles/411154

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