Percutaneous Treatment of Traumatic Upper-extremity Arterial Injuries: A Single-center Experience

Carrafiello, Gianpaolo; Laganà, Domenico; Mangini, Monica; Fontana, Federico; Recaldini, Chiara; Piacentino, Filippo; Pellegrino, Carlo; Piffaretti, Gabriele; Fugazzola, Carlo

doi:10.1016/j.jvir.2010.09.015

Cited by 33 publications

(30 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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%

Endovascular Repair of Blunt Popliteal Arterial Injuries

et al. 2016

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

Endovascular Repair of Blunt Popliteal Arterial Injuries

et al. 2016

View full text Add to dashboard Cite

show abstract

“…In literature most studies describe the treatment of vascular lesions in a single body district: Fluency stent grafts have been used for the treatment of several peripheral lesions: subclavian and axillary artery [19][20][21][22], iliac artery and femoral artery [4,5,8,14,[23][24][25][26], celiac trunk [4,27].…”

Section: Discussionmentioning

confidence: 99%

ePTFE stent graft in non-steno-occlusive arterial disease: 2 centers retrospective study

et al. 2016

Self Cite

View full text Add to dashboard Cite

show abstract

“…Recent endovascular techniques have been used successfully against vascular injury [4][5][6][7][8][9][10][11] . Some endovascular procedures for injuries or aneurysms of the subclavian artery have been reported.…”

Section: Discussionmentioning

confidence: 99%

A Case of Subclavian Artery Injury Due to Blunt Trauma Treated Successfully by Endovascular Repair

Nishina

Morita

Masuda

et al. 2012

JJCS

View full text Add to dashboard Cite

Subclavian artery injury is rare, but can cause both limb-and life-threatening conditions by rupture into the thoracic cavity. We report the case of a 59-yearold man with subclavian artery injury due to blunt trauma that was successfully treated by endovascular repair. Computed tomography showed a small aneurysm in the left subclavian artery close to the fractured left clavicle. We initially attempted conservative treatment because the aneurysm was small and signs of ischemia were absent. However, the aneurysm continued to increase in size and showed a risk of rupture into the thoracic cavity, which would have been life-threatening. A covered stent was placed 2 weeks after injury following a rapid increase in size of the aneurysm with relapsed pain. The aneurysm disappeared following stent placement and patency of the subclavian artery was preserved. Endovascular repair should be considered in the early phase after subclavian artery injury, even if the lesion is small.

show abstract

Percutaneous Treatment of Traumatic Upper-extremity Arterial Injuries: A Single-center Experience

Cited by 33 publications

References 36 publications

Endovascular Repair of Blunt Popliteal Arterial Injuries

Endovascular Repair of Blunt Popliteal Arterial Injuries

ePTFE stent graft in non-steno-occlusive arterial disease: 2 centers retrospective study

A Case of Subclavian Artery Injury Due to Blunt Trauma Treated Successfully by Endovascular Repair

Contact Info

Product

Resources

About