Risk of continuing planned surgery after endovascular repair of subclavian artery injury: a case report

Korean Journal of Anesthesiology 2014³â 67±Ç 2È£ p.139 ~ p.143

±Ç¿À¼ø(Kwon O-Sun) - Pusan National University School of Medicine Department of Anesthesia and Pain Medicine
ÀÌÇöÁ¤(Lee Hyeon-Jeong) - Pusan National University School of Medicine Department of Anesthesia and Pain Medicine
±è¿î¼º(Kim Won-Sung) - Pusan National University School of Medicine Department of Anesthesia and Pain Medicine
È«Á¤¹Î(Hong Jung-Min) - Pusan National University School of Medicine Department of Anesthesia and Pain Medicine
Á¶ÇöÁØ(Cho Hyun-Jun) - Pusan National University School of Medicine Department of Anesthesia and Pain Medicine

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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Artery injury, Cerebral infarction, Endovascular procedure, Liver transplantation
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