Abstract：Objective: To explore the feasibility and efficacy of endovascular repair for traumatic axillary artery injury. Methods: The clinical data of 14 patients with traumatic axillary artery injury undergoing endovascular intervention from February 2008 to August 2016 were retrospectively analyzed, the angiography showed that contrast extravasation, pseudoaneurysms, vascular stenosis or occlusion. Contrast extravasation and pseudoaneurysms were treated with stent grafts, vascular stenosis or occlusion were treated with bare stents or angioplasty. Results: Operation was performed successfully in all 14 patients, The mean operation time was 45 minutes(30～80 minutes). The interventions included balloon angioplasty(n=2), covered stent implantation(n=6) and bare stent implantation(n=6). After endoluminal treatment, axillary artery blood flow recovered, no contrast extravasation or severe complications occurred. Fourteen patients were followed up for 2~36 months(mean of 19.5 months), one stent-graft occlusion occurred, which was treated with intraarterial pharmacologic thrombolysis, blood flow patency was kept in the rest of the upper limb artery. Conclusion: For traumatic axillary artery injury, percutaneous interventional treatment can rapidly repair vascular injury and restore the blood flow, the clinical effect is significant, with less invasive performance and easy to operate, and it is a safe and effective method.
张希全，葛世堂. 创伤性腋动脉损伤的腔内修复治疗[J]. 中国临床医学影像杂志, 2017, 28(9): 657-659.
ZHANG Xi-quan, GE Shi-tang. Endovascular repair of traumatic axillary artery injury. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(9): 657-659.
2017, Vol. 28 
