Document Detail


Endovascular repair of blunt extremity arterial injury: case report.
MedLine Citation:
PMID:  19033276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Surgical revascularization is the standard treatment of complex blunt traumatic extremity vascular injuries. Limb salvage may be improved with minimally invasive endovascular therapies because of the ability to perform diagnostic and therapeutic intervention simultaneously. Two cases of acute limb-threatening arterial injuries successfully treated with percutaneous endovascular therapy are reported. RESULTS: A skier suffered hemodynamic instability after shoulder reduction. An axillary arterial injury was suspected and confirmed with angiography. A covered stent successfully controlled the hemorrhage. A morbidly obese female sustained anterior dislocation of her left knee 7 years previously requiring repair. She developed recurrent knee dislocation with acute leg ischemia. Emergent fixation was performed followed by percutaneous angiography. Short segment thrombosis of the popliteal was noted. Wire recanalization of the thrombosed artery and stent placement restored 3-vessel runoff. CONCLUSION: Endovascular therapy can offer faster, easier access to the extremity vascular injury facilitating revascularization and avoiding long incisions and dissections.
Authors:
Pamela Zimmerman; Alexandre d'Audiffret; Lakshmikumar Pillai
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-11-24
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  43     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2009 Apr-May
Date Detail:
Created Date:  2009-04-22     Completed Date:  2009-06-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  211-4     Citation Subset:  IM    
Affiliation:
Division of Vascular and Endovascular Surgery, Department of Surgery, West Virginia University Medical Center, Morgantown, West Virginia, USA. pzimmerman@hsc.wvu.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Angioplasty, Balloon* / instrumentation
Arterial Occlusive Diseases / etiology,  radiography,  therapy*
Arteries / injuries
Extremities / blood supply*
Female
Hematoma / etiology,  therapy
Hemorrhage / etiology,  radiography,  therapy*
Hemostatic Techniques* / instrumentation
Humans
Knee Dislocation / surgery
Male
Manipulation, Orthopedic / adverse effects*
Middle Aged
Orthopedic Procedures / adverse effects*
Shoulder Dislocation / therapy
Skiing
Stents
Thrombosis / etiology,  radiography,  therapy*
Treatment Outcome
Wounds, Nonpenetrating / etiology,  radiography,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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