Tratamento endovascular do trauma arterial dos membros

Abstract

Treatment of arterial traumatic injuries is usually performed with conventional revascularization techniques. However, vascular injuries can increasingly be repaired efficiently through minimally invasive procedures. We report four cases of extremity arterial trauma treated by endovascular techniques in a reference center. All patients showed satisfactory development over a 15-month follow-up. We suggest that endovascular therapy is a promising alternative to surgery for selected patients with extremity arterial trauma.Keywords: Vascular trauma, pseudoaneurysm, ischemia, emergency treatment. RESUMOGeralmente o tratamento das lesões arteriais traumáticas é realizado com técnicas tradicionais de revascularização. Cada vez mais, porém, as lesões vasculares podem ser corrigidas com eficiência por meio de procedimentos minimamente invasivos. Nós descrevemos quatro casos de trauma arterial dos membros que foram tratados por técnicas endovasculares num centro de referência. Todos os pacientes evoluíram satisfatoriamente durante o seguimento de 15 meses. Nós sugerimos que o tratamento endovascular é uma alternativa promissora em relação à cirurgia para pacientes selecionados com trauma arterial dos membros. Palavras-chave:Trauma vascular, pseudo-aneurisma, isquemia, tratamento de urgência.

Vascular trauma in the Amazon - the challenge of great distances

“…Fractures, nerve and muscle injuries are common associations that increase amputation probability even at specialized trauma centers [9][10][11][12] . That explains why limb amputation rate differs from penetrating (10%) to blunt (30%) vascular traumas 13 .…”

Pseudoaneurisma traumático em artéria braquial após retirada de implante contraceptivo subdérmico

“…However, these methods are limited to cases with small diameter, narrow neck, and recent onset. [6][7][8] The most common minimally invasive techniques are injection of thrombin with or without factor XIII and deployment of covered stents, anatomic location permitting. [6][7][8] Both require expensive materials that are not always available in all hospitals.…”

Tratamento endovascular de fístula tronco arterial braquiocefálico-traqueal: relato de caso e revisão de literatura

“…However, it is becoming increasingly possible to repair, in an effective way, vascular injuries with minimally invasive procedures. 11,12 The primary advantage of endovascular treatment for TIF is reduction of morbidity and mortality, particularly in more serious cases. 13 Limitations include difficulties with stent placement because of the site of injury, making additional surgical bypasses necessary to maintain blood flow, in addition to a lack of resources in smaller hospitals.…”