Endovascular Repair of Aorto-iliac Artery Injuries after Lumbar-spine Surgery

Canaud, Ludovic; Hireche, Kheira; Joyeux, Frédéric; D'Annoville, Thomas; Berthet, Jean‐Philippe; Marty-Ané, Charles; Alric, Pierre

doi:10.1016/j.ejvs.2011.04.011

Cited by 53 publications

(30 citation statements)

References 24 publications

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“…Since the first reported case of stent-graft treatment for arterial injuries in 1991 (26), the use of endovascular therapy in vascular injuries has increased dramatically (89101112). Endovascular treatment has lower amputation rates and complications than surgical repair (12).…”

Section: Discussionmentioning

confidence: 99%

“…Disadvantages of surgical exploration include the need for anesthesia and risk associated with injured site infection (7). Endovascular repair has been widely employed in the treatment of arterial injuries with the advances in orgtechnology of stent and stent-graft (89101112). Endovascular repair of arterial injuries has theoretical advantages over the surgical approach, including a minimally invasive, rapid procedure, a more rapid recovery time, lower in-hospital mortality, and decreasing risk of injuring important adjacent structures (12131415).…”

Section: Introductionmentioning

confidence: 99%

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Endovascular Repair of Blunt Popliteal Arterial Injuries

et al. 2016

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ObjectiveTo evaluate the feasibility and effectiveness of endovascular repair for blunt popliteal arterial injuries.Materials and MethodsA retrospective analysis of seven patients with clinical suspicion of popliteal arterial injuries that were confirmed by arteriography was performed from September 2009 to July 2014. Clinical data included demographics, mechanism of injury, type of injury, location of injury, concomitant injuries, time of endovascular procedures, time interval from trauma to blood flow restoration, instrument utilized, and follow-up. All patients were male (mean age of 35.9 ± 10.3 years). The type of lesion involved intimal injury (n = 1), partial transection (n = 2), complete transection (n = 2), arteriovenous fistula (n = 1), and pseudoaneurysm (n = 1). All patients underwent endovascular repair of blunt popliteal arterial injuries.ResultsTechnical success rate was 100%. Intimal injury was treated with a bare-metal stent. Pseudoaneurysm and popliteal artery transections were treated with bare-metal stents. Arteriovenous fistula was treated with bare-metal stent and coils. No perioperative death and procedure-related complication occurred. The average follow-up was 20.9 ± 2.3 months (range 18–24 months). One patient underwent intra-arterial thrombolysis due to stent thrombosis at 18 months after the procedure. All limbs were salvaged. Stent migration, deformation, or fracture was not found during the follow-up.ConclusionEndovascular repair seems to be a viable approach for patients with blunt popliteal arterial injuries, especially on an emergency basis. Endovascular repair may be effective in the short-term. Further studies are required to evaluate the long-term efficacy of endovascular repair.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Endovascular Repair of Blunt Popliteal Arterial Injuries

et al. 2016

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“…3,15,16,18 As immediate surgical treatment due to life-threatening condition, is a 1 st line treatment, the benefits of minimal invasive approach in the form of endovascular procedure may result in lower morbidity and mortality. 2,3,5,[7][8][9][10]21,23,25,26 We, therefore, suggest establishing a complications' register. 27…”

Section: Discussionmentioning

confidence: 97%

Endovascular treatment of iatrogenic arteriovenous fistula of the iliac vessel

et al. 2018

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Iatrogenic vessel injury, being a complication of neurosurgical and orthopedic surgeries, may be overlooked and remain undetected both in intraand postoperative period. Modern imaging techniques allow for an adequate diagnosis of the injury and planning the treatment of arteriovenous fistula. The endovascular procedures are the method of choice in patients with arteriovenous fistulas of iliac vessels, alternative to open surgery.

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“…Open repair and replacement of the descending thoracic aorta in this patient in an emergent setting would have carried significant morbidity. While the use of TEVAR in acute aortic pathologies such as transection, dissection or rupture has been well described, 2,9,10 reports on the role of TEVAR in acute iatrogenic aortic injuries is limited. In particular the endovascular management of acute aortic injuries caused by the insertion or removal of, or complications related to the presence of, a spinal prosthesis are scarce.…”

Section: Discussionmentioning

confidence: 99%

“…In this situation there are only a handful cases describing the emergency use of endovascular stents to gain vascular control. 2,9,10 In these situations open vascular control can be difficult due to both the presence of a re-operative surgical field and the close proximity of the spinal prosthesis to the area of injury limiting adequate surgical exposure. The situation can be further complicated by the limited availability of adequate imaging, equipment, and technical expertise in a noncardiac or vascular specialized operating suite.…”

Section: Discussionmentioning

confidence: 99%