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
  • 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.

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.

Keyword

Artery injury; Cerebral infarction; Endovascular procedure; Liver transplantation

MeSH Terms

Axillary Artery
Cerebral Arteries
Cerebral Infarction
Endovascular Procedures
Liver Transplantation
Stents
Subclavian Artery*
Thromboembolism
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