Non-penetrating subclavian artery trauma: Management by selective transluminally placed stent device

Non-penetrating injury to the subclavian artery has not often been reported . The limited experience of surgeons with this type of trauma and the diffi cult vascular control required for its management make it a surgical challe nge. We report on two cases, one after blunt trauma and the other with a su bclavian artery aneurysm following anterior dislocation of the shoulder. Pe rcutaneous stent implantation in the subclavian artery was successfully per formed with, in the second case, coil embolization of the aneurysm. Follow- up Doppler sonography and angiogram demonstrated patency and luminal integr ity of the involved artery. This less invasive procedure may be a significa nt advance and a new approach in the conservative management of traumatic s ubclavian injury for selected cases.