{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:10:03Z","timestamp":1772169003307,"version":"3.50.1"},"reference-count":10,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2014,12,19]],"date-time":"2014-12-19T00:00:00Z","timestamp":1418947200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns4:p>Subclavian arterial injury is rare and potentially life-threatening, particularly when it leads to arterial occlusion, causing limb ischemia, retrograde thromboembolization and cerebral infarction within hours after injury. Here we report a blunt trauma case with subclavian arterial injury, upper extremity ischemia, and the need for urgent treatment to salvage the limb and prevent cerebral infarction. A 41-year-old man had a left, open, mid-shaft clavicle fracture and left subclavian artery injury accompanied by a weak pulse in the left radial artery, decreased blood pressure of the left arm compared to the right, and left hand numbness. Urgent debridement and irrigation of the open clavicle fracture was followed by angiography for the subclavian artery injury. The left distal subclavian artery had a segmental dissection with a thrombus. Urgent endovascular treatment using a self-expanding nitinol stent successfully restored the blood flow and blood pressure to the left upper extremity. Endovascular treatment is a viable option for cases of subclavian artery injury where there is a risk of extremity ischemia and cerebral infarction.<\/ns4:p>","DOI":"10.12688\/f1000research.5963.1","type":"journal-article","created":{"date-parts":[[2014,12,19]],"date-time":"2014-12-19T09:25:23Z","timestamp":1418981123000},"page":"310","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":11,"title":["Case Report: Urgent endovascular treatment of subclavian artery injury after blunt trauma"],"prefix":"10.12688","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4480-556X","authenticated-orcid":false,"given":"Taka-aki","family":"Nakada","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Idoguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Fukuma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidefumi","family":"Ono","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shota","family":"Nakao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Matsuoka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2560","published-online":{"date-parts":[[2014,12,19]]},"reference":[{"key":"ref-1","doi-asserted-by":"publisher","first-page":"316-318","DOI":"10.1097\/00005373-200002000-00022","article-title":"Fatal subclavian artery transection from isolated clavicle fracture.","volume":"48","author":"K Kendall","year":"2000","journal-title":"J Trauma."},{"key":"ref-2","doi-asserted-by":"publisher","first-page":"e202-206","DOI":"10.1016\/j.hlc.2014.04.254","article-title":"Traumatic subclavian arterial thrombosis presenting with cerebral infarct--a case report.","volume":"23","author":"S Chavali","year":"2014","journal-title":"Heart Lung Circ."},{"key":"ref-3","doi-asserted-by":"publisher","first-page":"107-109","DOI":"10.1097\/BOT.0b013e31821c0b7f","article-title":"Open clavicle fractures: patterns of trauma and associated injuries.","volume":"26","author":"H Gottschalk","year":"2012","journal-title":"J Orthop Trauma."},{"key":"ref-4","doi-asserted-by":"crossref","first-page":"476-484","DOI":"10.1302\/0301-620X.80B3.0800476","article-title":"Fractures of the clavicle in the adult. Epidemiology and classification.","volume":"80","author":"C Robinson","year":"1998","journal-title":"J Bone Joint Surg Br."},{"key":"ref-5","doi-asserted-by":"publisher","first-page":"482-485","DOI":"10.1177\/1538574408318476","article-title":"Delayed treatment of a traumatic left subclavian artery pseudoaneurysm.","volume":"42","author":"R Franz","year":"2008","journal-title":"Vasc Endovascular Surg."},{"key":"ref-6","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1186\/1749-7922-7-18","article-title":"Traumatic subclavian arterial rupture: a case report and review of literature.","volume":"7","author":"M Assenza","year":"2012","journal-title":"World J Emerg Surg."},{"key":"ref-7","doi-asserted-by":"publisher","first-page":"161-163","DOI":"10.1097\/00005373-198402000-00014","article-title":"Combined subclavian artery and brachial plexus injuries from blunt upper-extremity trauma.","volume":"24","author":"D Tomaszek","year":"1984","journal-title":"J Trauma."},{"key":"ref-8","doi-asserted-by":"publisher","first-page":"648","DOI":"10.1136\/emj.2003.009761","article-title":"Fractured clavicle and vascular complications.","volume":"21","author":"A Mandal","year":"2004","journal-title":"Emerg Med J."},{"key":"ref-9","doi-asserted-by":"publisher","first-page":"204-206","DOI":"10.1016\/j.annemergmed.2012.05.037","article-title":"Emergency bedside sonographic diagnosis of subclavian artery pseudoaneurysm with brachial plexopathy after clavicle fracture.","volume":"61","author":"J Gullo","year":"2013","journal-title":"Ann Emerg Med."},{"key":"ref-10","doi-asserted-by":"publisher","first-page":"28-34","DOI":"10.1016\/j.amjsurg.2008.11.031","article-title":"Modern management of traumatic subclavian artery injuries: a single institution\u2019s experience in the evolution of endovascular repair.","volume":"199","author":"M Carrick","year":"2010","journal-title":"Am J Surg."}],"container-title":["F1000Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/f1000research.com\/articles\/3-310\/v1\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/3-310\/v1\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/3-310\/v1\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T00:50:10Z","timestamp":1598230210000},"score":1,"resource":{"primary":{"URL":"https:\/\/f1000research.com\/articles\/3-310\/v1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,19]]},"references-count":10,"URL":"https:\/\/doi.org\/10.12688\/f1000research.5963.1","relation":{"has-review":[{"id-type":"doi","id":"10.5256\/f1000research.6380.r7279","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.6380.r7100","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.6380.r7100","asserted-by":"object"},{"id-type":"doi","id":"10.5256\/f1000research.6380.r7279","asserted-by":"object"}]},"ISSN":["2046-1402"],"issn-type":[{"value":"2046-1402","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12,19]]},"assertion":[{"value":"Indexed","URL":"https:\/\/f1000research.com\/articles\/3-310\/v1#article-reports","order":0,"name":"referee-status","label":"Referee status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.5256\/f1000research.6380.r7100, Urvi Shukla, Department of Critical Care, Aditya Birla Memorial Hospital, Pune, Maharashtra, India, 14 Jan 2015, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/3-310\/v1#referee-response-7100","order":0,"name":"referee-response-7100","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.6380.r7279, Tal H\u00f6rer, Department of Cardio-Thoracic and Vascular Surgery, \u00d6rebro University Hospital and \u00d6rebro University, \u00d6rebro, Sweden, 14 Jan 2015, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/3-310\/v1#referee-response-7279","order":1,"name":"referee-response-7279","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":2,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Data associated with the article are available under the terms of the Creative Commons Zero \"No rights reserved\" data waiver (CC0 1.0 Public domain dedication).","order":0,"name":"copyright-info","label":"Copyright"}]}}