Aggressive management of vascular injuries of the thoracic outlet.

  title={Aggressive management of vascular injuries of the thoracic outlet.},
  author={C E Hyre and Dolores F Cikrit and Stephen G. Lalka and Alan P. Sawchuk and Michael C Dalsing},
  journal={Journal of vascular surgery},
  volume={27 5},
          880-4; discussion 884-5
PURPOSE We present a review of 35 patients who underwent an operation for subclavian (n = 18) or axillary (n = 17) vessel injury. In some patients, both an artery and a vein were damaged, resulting in a total of 30 arterial and 16 venous injuries. METHODS The wounding source included a gunshot (n = 19), a stab wound (n = 9,) and blunt trauma (n = 7). Seven patients had hypotension and were taken immediately to the operating room. Seventeen patients had diminished or absent pulses, whereas 13… CONTINUE READING
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