Annals of Vascular Surgery, 2017/12, 48251.e15-251.e16. doi: 10.1016/j.avsg.2017.10.010, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (https://www.annalsofvascularsurgery.com/article/S0890-5096(17)31112-3/fulltext)

Keywords:

Ischemia/ [1]
osteopathic manipulative treatment [3945]
subclavian artery [3]
upper extremity [2]
blood supply [2]
vascular system injuries [1]
adverse events [49]

Abstract:

We report the case of a young woman who experienced ischemia of upper limb after osteopathic manipulation. Duplex and computed tomography scan showed wall hematoma of the ostium of subclavian artery. The patient spontaneously recovered so that no surgery was necessary. Dissection of vertebral and carotid arteries has been reported after osteopathic manipulations. We report ischemia of upper limb secondary to dissection of subclavian artery. Arterial dissections associated with manipulation should be recorded in a register in order to assess more carefully the vascular risk that this method carries.