Document Detail


Emergency and Elective Implantation of Covered Stent Systems in Iatrogenic Arterial Injuries.
MedLine Citation:
PMID:  21318936     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: To evaluate the effectiveness and safety of covered stents for the management of iatrogenic arterial injury. MATERIALS AND METHODS: Between 03 / 1998 and 12 / 2009, 31 patients underwent selective covered stent implantation after iatrogenic arterial injury. 12 / 31 of these patients (38.7 %) were hemodynamically unstable. Six different endovascular covered stent types were utilized. The primary endpoints of this study were technical and clinical success and rates of minor and major complications. RESULTS: Initial angiograms demonstrated active extravasation in 19 (61.3 %) patients and pseudoaneurysms in 12 (38.7 %) patients. The following sites of bleeding origin were detected: axillary artery, subclavian artery, common iliac artery, external iliac artery, internal iliac artery, common femoral artery, superficial femoral artery, popliteal and fibular artery, femoro-popliteal and popliteo-crural bypasses, common hepatic artery, aberrant hepatic artery, cystic and gastroduodenal artery. In all patients bleeding was effectively controlled by covered stent implantation resulting in an immediate technical success of 100 %. Clinical success attributed to covered stent implantation was documented in 30 of the 31 patients (96.8 %). Major complications included death in four patients (11.1 %), acute thrombosis with arm ischemia in one patient (2.8 %) and stent fracture with associated pseudoaneurysm in another patient (2.8 %). In 2 / 31 patients (6.5 %) covered stent failure was detected and successfully treated by implantation of a second covered stent. CONCLUSION: Emergency and elective implantation of covered stents may be used for minimally invasive and effective management of iatrogenic arterial injury.
Authors:
J P Goltz; P Bastürk; H Hoppe; J Triller; R Kickuth
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-11
Journal Detail:
Title:  RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin     Volume:  -     ISSN:  1438-9010     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507497     Medline TA:  Rofo     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© Georg Thieme Verlag KG Stuttgart · New York.
Affiliation:
Institut für Röntgendiagnostik, Universitätsklinikum Würzburg.
Vernacular Title:
Notfall- und Elektivtherapie iatrogener Verletzung arterieller Gefäße mittels Implantation von beschichteten Stents.
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