Abstract
Trauma to the great vessels, descending thoracic aorta, and the cervical carotid and vertebral arteries is uncommon but management can be very challenging. Endovascular therapy has changed surgeons’ approach to these injuries. While short term results have been promising, especially in the treatment of subclavian artery injuries, long term results are lacking; long-term outcomes are of paramount importance in a group of relatively young patients that would be expected to have a long life expectancy after recovery from their trauma. We will review current data regarding short- and long-term outcomes after endovascular management of blunt and penetrating injuries to the cervicothoracic vessels, provide examples of successful treatment, and make recommendations for current management strategies and areas of future research.
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Alizadegan, S., Rossi, P.J. (2017). In Patients with Cervico-Thoracic Vascular Injuries Is Endovascular Repair Superior in Long-Term Durability When Compared to Open Repair?. In: Skelly, C., Milner, R. (eds) Difficult Decisions in Vascular Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-33293-2_33
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DOI: https://doi.org/10.1007/978-3-319-33293-2_33
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