{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T22:15:10Z","timestamp":1758406510937,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,4,2]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Subclavian artery injury is a rare complication of clavicle fracture. The fractured clavicle can lacerate the underlying subclavian artery. Life-threatening haemorrhage can occur secondary to arterial laceration, and if distal blood flow is impaired, upper limb ischaemia can develop. There is little discussion in the literature regarding combined (or \u2018hybrid\u2019) endovascular and open surgical management of acute subclavian injuries secondary to clavicle fracture. We report a case of subclavian artery laceration secondary to clavicle fracture, managed with a combined endovascular and open surgical approach. An endovascular balloon was used for proximal arterial control, while surgical exposure and primary repair of the subclavian artery was completed, followed by fixation of the clavicle. There was no sustained vascular or neurological impairment at follow-up. We suggest that select traumatic injuries of the subclavian artery can be safely and successfully managed with a combined endovascular and open surgical approach.<\/jats:p>","DOI":"10.1136\/bcr-2020-241382","type":"journal-article","created":{"date-parts":[[2021,7,2]],"date-time":"2021-07-02T12:12:37Z","timestamp":1625227957000},"page":"e241382","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Subclavian artery laceration following clavicle fracture, successfully treated with a combined endovascular and open surgical approach"],"prefix":"10.1136","volume":"14","author":[{"given":"Samuel","family":"Arnold","sequence":"first","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Christchurch Hospital, Christchurch, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darina","family":"Gilroy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Christchurch Hospital, Christchurch, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Laws","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Christchurch Hospital, Christchurch, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josh","family":"Kempthorne","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Christchurch Hospital, Christchurch, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,7,2]]},"reference":[{"key":"2025082803211810000_14.7.e241382.1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200002000-00022"},{"key":"2025082803211810000_14.7.e241382.2","first-page":"262","article-title":"Acute endovascular management of a subclavian artery injury","volume":"156","author":"Stockinger","year":"2004","journal-title":"J La State Med Soc"},{"key":"2025082803211810000_14.7.e241382.3","doi-asserted-by":"crossref","unstructured":"Stryker GmbH . Stryker VariAx clavicle locking plate system, 2015.","DOI":"10.5465\/ambpp.2015.10040abstract"},{"key":"2025082803211810000_14.7.e241382.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2004.12.046"},{"key":"2025082803211810000_14.7.e241382.5","first-page":"45","article-title":"Long-term results of endovascular therapy for proximal subclavian arterial obstructive lesions","volume":"123","author":"Wang","year":"2010","journal-title":"Chin Med J"},{"key":"2025082803211810000_14.7.e241382.6","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1177\/000313481708301008","article-title":"A comparative analysis of open versus endovascular techniques for management of non-aortic cervicothoracic arterial injuries","volume":"83","author":"Gray","year":"2017","journal-title":"Am Surg"},{"key":"2025082803211810000_14.7.e241382.7","doi-asserted-by":"publisher","DOI":"10.1053\/ejvs.1999.1050"},{"key":"2025082803211810000_14.7.e241382.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2004.11.026"},{"key":"2025082803211810000_14.7.e241382.9","first-page":"107","article-title":"Hybrid procedures combining open and endovascular surgical techniques for the management of subclavian artery injuries","volume":"63","author":"Karkos","year":"2007","journal-title":"J Trauma"},{"key":"2025082803211810000_14.7.e241382.10","doi-asserted-by":"crossref","first-page":"310","DOI":"10.12688\/f1000research.5963.1","article-title":"Case report: urgent endovascular treatment of subclavian artery injury after blunt trauma","volume":"3","author":"Nakada","year":"2014","journal-title":"F1000Res"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-241382","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:21:25Z","timestamp":1756376485000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-241382"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":10,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,7,2]]},"published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1136\/bcr-2020-241382"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-241382","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}