Korean J Anesthesiol.
2014 Aug;67(2):139-143. 10.4097/kjae.2014.67.2.139.
Risk of continuing planned surgery after endovascular repair of subclavian artery injury: a case report
- Affiliations
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- 1Department of Anesthesia and Pain Medicine, Pusan National University School of Medicine, Busan, Korea. lhjksk@pusan.ac.kr
- 2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
- KMID: 2227417
- DOI: http://doi.org/10.4097/kjae.2014.67.2.139
Abstract
- Endovascular repair with covered stents has been widely used to treat subclavian and axillary artery injuries and has produced promising early results. The possibility of a thromboembolism occurring in cerebral arteries during an endovascular procedure should be a cause for concern. In the case of endovascular management of arterial traumas, a prompt and sufficient period for check-up of the patient's neurological signs is needed, even if it requires postponing elective intervention for the patient's safety. We report a rare case of liver transplantation immediately after endovascular repair of an iatrogenic subclavian arterial injury to describe the risk of continuing planned surgery without neurologic assessment.
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