Blunt Abdominal Aorta, Celiac Artery, and Superior Mesenteric Artery Injuries Treated Endovascularly

Zhang, Niu; Prabhakaran, Kartik; Carroll, Francis; Anderson, Patrice; Latifi, Rifat; Laskowski, Igor

doi:10.1177/000313481908500319

Cited by 2 publications

(1 citation statement)

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“…The technical feasibility of endovascular interventions in blunt mesenteric arterial injuries has been described previously (patient 1). 9 The present report of two patients shows a 100% technical success rate, with no in hospital death or morbidity related to the vascular intervention. Excellent midterm stent patency with no stent failure and no re-interventions were observed during the observation period.…”

Section: Discussionsupporting

confidence: 50%

Blunt Mesenteric Vascular Injuries: Endovascular Management and Midterm Outcomes

Safaya

Carroll

Laskowski

2021

EJVES Vascular Forum

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Introduction Visceral artery injuries are rare but lethal entities that pose significant management challenges in a patient who presents with blunt trauma. There is a paucity of specific guidelines both in the trauma and vascular literature regarding the management of blunt intra-abdominal vascular injuries. The midterm outcomes of two cases of blunt traumatic visceral artery injuries managed successfully with endovascular interventions are presented. Report An 18 year old male victim of a motor vehicle accident was found to have infrarenal aortic, coeliac artery (CA), and superior mesenteric artery (SMA) injuries. The second patient was a 15 year old male who presented with traumatic occlusion of the CA after an all terrain vehicle collision. Both patients had other associated abdominal and bony injuries. All vascular injuries were addressed endovascularly, which was followed by repair of other associated injuries. In the first case, a self expanding non-covered nitinol stent was used in the injured but tortuous CA; for repair of the SMA, a covered balloon expandable stent was used. In the second patient, a balloon expandable non-covered stent was used to repair the CA occlusion. In both cases, the 12 month post-operative follow up showed that all stents were patent and the patients were asymptomatic. Discussion Endovascular repair of the mesenteric arteries following traumatic injury can be achieved safely, with good midterm outcomes. More data are needed to define the indications for and long term safety and patency of stents used in traumatic visceral artery injuries.

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Section: Discussionsupporting

confidence: 50%