Objective       To compare the open and endovascular surgery for subclavian artery injury and traumatic pseudo-aneurysm.      Methods        Twenty-one patients with subclavian artery injury were enrolled in this study. Of them

12 underwent open surgery according to the site

severity

time

and involved area of their injury

through supra- and sub-clavian incision

sternal midline incision

trans-rib left neck incision

with the following techniques such as vascular wall repair

vascular anastomosis

vascular transplantation

vascular suture and ligation

auxiliary extracorporeal circulation or balloon hemostasis

and 9 (1 in failure

4 with hemorrhagic shock

and 2 with traumatic artery occlusion) underwent endovascular surgery.      Results       The injury was completely healed in all patients. The mean operation time of endovascular surgery and open surgery was 2.1 h and 4.5 h

respectively (P0.05)

and the mean average blood loss was 200 ml and 1 800 ml in two groups

respectively (P0.05). The hospital stay time of the two groups was 9 and 21.3 d

respectively (P0.05). The patients were followed up for 4-30 months

during which partial vascular stenosis occurred in 1 patient after repair. The stent patency was 100% with no severe vascular stenosis and occlusion occured.      Conclusion        Endovascular surgery is a safe procedure for subclavian artery injury and traumatic pseudo-aneurysm with less minimal invasive injuries and complications than open surgery.