Early Outcomes of Traumatic Femoral Artery Aneurysm (Open Repair versus Endovascular Treatment)

Wahab, Maisa A Abdel; Farouk, Nehal; Saleh, Ola I

doi:10.1016/j.avsg.2018.05.056

Cited by 6 publications

(13 citation statements)

References 4 publications

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“…But due to stent-graft's poor flexibility, it is not suitable for tortuous blood vessels. It may be severely restricted to block collateral vessels playing important roles [ 11 , 12 ]. As a result, for refractory TCCF, it has great significance to keep carotid artery unobstructed, and combined arteriovenous approach embolization is recommended.…”

Section: Discussionmentioning

confidence: 99%

Clinical Research of Combined Arteriovenous Approach Embolization on Complex Carotid-Cavernous Fistulas

Zheng

2021

BioMed Research International

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The objective of this study was to observe the curative effect of combined arteriovenous approach embolization on complex carotid-cavernous fistulas. The clinical data of 13 patients with complex carotid-cavernous fistulas treated with combined arteriovenous approach embolization in our department between January 2017 and January 2020 were analyzed retrospectively. All 13 patients received the combined arteriovenous approach embolization with coil combined with Onyx glue. The intraoperative angiography immediately showed that the fistula could be completely blocked, and the carotid artery was/got unobstructed. The patients had no clinical symptoms recurring during a follow-up period of 3-18 months, on average 9.1 ± 6.3 months. A combined arteriovenous approach embolization on complex carotid-cavernous fistulas is safe and effective since it can improve the occlusion rate and reduce the relapse rate.

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Section: Discussionmentioning

confidence: 99%

Clinical Research of Combined Arteriovenous Approach Embolization on Complex Carotid-Cavernous Fistulas

Zheng

2021

BioMed Research International

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“…In our treatment strategy, EI is indicated for PAs that are difficult to access percutaneously, such as PAs of the profunda femoris or the external iliac, those not suitable for OS and those failed by UGTI, which is consistent with previously documented opinion 15 , 19 . Despite its advantages, the high incidence of lumen thromboembolism should be considered 20 . Stent grafting is optimal for arteries with relatively large diameters but unsuitable for ankle and crural PAs 21 , 22 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of three different treatment methods for traumatic and Iatrogenic peripheral artery pseudoaneurysms

Zhao

Zhang

et al. 2022

Orthopaedic Surgery

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Objective: To compare the efficacy of open surgery (OS), endovascular interventions (EIs), and ultrasound-guided thrombin injection (UGTI) for the treatment of peripheral arterial pseudoaneurysms (PAs).Methods: From January 1, 2001, to February 10, 2021, 38 patients diagnosed with traumatic and iatrogenic PAs treated with OS, EI, and UGTI were retrospectively analyzed. There were 18 females and 20 males, with an age of 56.47 AE 14.08 years (range,17-87 years). Anesthesia modality, operation duration, blood transfusion, duration of hospital stay, primary and secondary success rates, and complication rate were used to evaluate the surgical outcomes.Results: There were 11 cases under regional anesthesia and 4 under general anesthesia in OS group, 9 under regional anesthesia and 1 under general anesthesia in EI group, and no regional or general anesthesia was required in UGTI group. There was no significant differences between any two groups (χ 2 = 39.80, p < 0.05). The blood tranfusion amount (units) were 3.6 AE 6.0, 0.8 AE 2.5, 0.0 AE 0.0 for OS, EI, and UGTI groups, respectively, with significant difference between OS and UGTI groups (F = 3.03, p < 0.05). The operation duration (minutes) of OS, EI, and UGTI groups were 80.0 AE 41.9, 56.0 AE 8.4, and 22.7 AE 5.3, respectively, with significant difference between any two groups (F = 15.69, p < 0.05). The duration of hospital stay (days) were 47.7 AE 39.0, 31.5 AE 17.6, and 16.3 AE 9.5, repectively, with significant difference between any two groups (F = 47.73, p < 0.05). The primary clinical success rates were 80% (12/15), 90% (9/10), and 92.3% (12/13) in OS,EI, and UGTI groups, respectively, with no significant difference between any two groups (χ 2 = 0.34, p > 0.05). The secondary clinical success rates were 100% for all three groups. The overall complication rates of OS, EI, and UGTI groups were 20% (3/15), 10% (1/10), and 7.7% (1/ 13), respectively, with no significant difference between any two groups (χ 2 = 1.00, p > 0.05). The infection rates were 13.3% (2/15), 10% (1/10), and 0% (0/13) in OS, EI, and UGTI groups respectively, with no significant difference between any two groups (χ 2 = 1.80, p > 0.05). The reintervention rates were 6.7% (1/15), 0% (0/10), 7.7% (1/13) in OS, EI, and UGTI groups, respectively, with no significant difference between two groups (χ 2 = 0.95, p > 0.05). Neuralgia was relieved in all patients.Conclusions: OS, EI, and UGTI are efficacious and safe options for the treatment of appropriate patients with traumatic and iatrogenic PAs. UGTI would be considered as a first-line therapy for this condotion.

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“…Pseudoaneurysm of SFA resulting from penetrating trauma is relatively uncommon and is associated with substantial morbidity and mortality. [ 3 ] The traditional treatment for SFA pseudoaneurysm is surgical reconstruction, which is associated with severe complications, especially for patients with multiple comorbid conditions. [ 5 ] EVT has been accepted as a minimally invasive procedure for SFA pseudoaneurysm.…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 ] Recently, covered stenting has been applied as an alternative to open surgery (OS) to exclude pseudoaneurysm of superficial femoral artery (SFA). [ 2 , 3 ] The main advantages of endovascular treatment (EVT) are low complication rates and excellent short-term outcomes. [ 4 ] Several works have reported acceptable long-term results, with 3-year patency rates ranging from 77.1% to 100%.…”

Section: Introductionmentioning

confidence: 99%

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Fracture of a covered stent–graft due to heterotopic ossification of residual hematoma after endovascular treatment of superficial femoral artery pseudoaneurysm

Wang

Zhao

et al. 2021

Medicine

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Rationale: Endovascular treatment (EVT) is considered a preferred procedure of superficial femoral artery (SFA) pseudoaneurysm in recent years. However, heterotopic ossification (HO) after SFA pseudoaneurysm is a rare occurrence, that may cause late stent–graft fracture. Patient concerns: A 58-year-old male who underwent EVT for SFA pseudoaneurysm 8 years ago presented with a progressive mass at the right thigh and claudication. Computed tomography angiography (CTA) showed fracture and occlusion of stent–graft, which was compressed by the deep femoral artery (DFA) pseudoaneurysm and a bone-like body. Diagnosis: According to the CTA images, the stent–graft was fractured and occluded, accompanied by DFA pseudoaneurysm. Interventions and outcomes: Debridement and arterial reconstruction were performed. Pathological analysis showed that the bone-like body was derived from HO. CTA at one-year follow-up showed that the prosthetic vessel was patent and previous hematoma disappeared. Conclusions: This report demonstrates that residual hematoma can induce HO, which may result in late stent fracture, and it should thus be removed timely. Patients with SFA pseudoaneurysm who have undergone EVT should be followed up regularly.

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Early Outcomes of Traumatic Femoral Artery Aneurysm (Open Repair versus Endovascular Treatment)

Cited by 6 publications

References 4 publications

Clinical Research of Combined Arteriovenous Approach Embolization on Complex Carotid-Cavernous Fistulas

Clinical Research of Combined Arteriovenous Approach Embolization on Complex Carotid-Cavernous Fistulas

Comparison of three different treatment methods for traumatic and Iatrogenic peripheral artery pseudoaneurysms

Fracture of a covered stent–graft due to heterotopic ossification of residual hematoma after endovascular treatment of superficial femoral artery pseudoaneurysm

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