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Article Type

Case Report

Abstract

Traumatic subclavian artery injury resulting in pseudoaneurysm formation is relatively uncommon. With the increasing percutaneous arterial interventions utilization worldwide, the number of pseudoaneurysm formation has increased owing to iatrogenic arterial injury. After trauma, injury of subclavian artery early appears, and many complications such as life-threatening bleeding, the creation of pseudoaneurysm, and brachial plexus compression may be caused by the arterial rupture. The presence of large hematoma and pulsatile palpable mass in the supraclavicular region should raise the suspicion of severe vascular injury. Surgical thoracotomy and direct arterial repair traditionally treated subclavian artery pseudoaneurysms. However, significant morbidity is usually associated with surgical repair. In recent years, endovascular stent grafting has become an attractive intervention with less invasiveness and morbidity for these injuries. We have a case report of pseudoaneurysm following traumatic right subclavian artery owing to penetrating neck trauma caused by bullet injury, which was treated successfully by endovascular stent grafting, providing a complete review of the literature.

Keywords

Endovascular, pseudoaneurysm, subclavian artery, trauma

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