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Endovascular Management of Extra-cranial Supra-aortic Vascular Injuries

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An Erratum to this article was published on 11 April 2013

Abstract

Supra-aortic vessel injuries are uncommon but can be life-threatening and surgically challenging. Trauma to these vessels may be blunt or penetrating, including iatrogenic trauma following the insertion of central venous lines, which may be preventable. Recent advances in technology have resulted in endovascular therapy becoming a common first-line treatment, and interventional radiologists now play a major role in the management of these vascular injuries. We review the literature on the endovascular management of these types of injuries and describe a spectrum of case-based extra-cranial supra-aortic vascular injuries managed at our institution and the range of imaging appearances, including active contrast extravasation, traumatic vessel occlusion, true aneurysms, pseudoaneurysms, and arteriovenous fistulae.

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Acknowledgments

No grant support received.

Conflict of interest

Bahir Almazedi, Harpreet Lyall, Priya Bhatnagar, David Kessel, Simon McPherson, Jai Patel, and Sapna Puppala declare that they have no conflict of interest.

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Authors and Affiliations

  1. Leeds and West Yorkshire Radiology Academy, Leeds General Infirmary, B Floor, Clarendon Wing, Great George Street, Leeds, West Yorkshire, LS1 3EX, UK

    Bahir Almazedi, Harpreet Lyall & Priya Bhatnagar

  2. Department of Vascular and Interventional Radiology, The Leeds Teaching Hospitals NHS Trust, Leeds General Infirmary, Great George Street, Leeds, West Yorkshire, LS1 3EX, UK

    David Kessel, Simon McPherson, Jai V. Patel & Sapna Puppala

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  1. Bahir Almazedi
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  2. Harpreet Lyall
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Correspondence to Bahir Almazedi.

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Almazedi, B., Lyall, H., Bhatnagar, P. et al. Endovascular Management of Extra-cranial Supra-aortic Vascular Injuries. Cardiovasc Intervent Radiol 37, 55–68 (2014). https://doi.org/10.1007/s00270-013-0555-9

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  • DOI: https://doi.org/10.1007/s00270-013-0555-9

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