Document Detail


Endovascular treatment of lower limb penetrating arterial traumas.
MedLine Citation:
PMID:  17682819     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to evaluate the effectiveness of percutaneous arterial embolization in patients with penetrating peripheral arterial trauma. MATERIALS AND METHODS: Twelve patients with penetrating peripheral arterial trauma were treated with percutaneous arterial embolization between 2002 and 2007. All injuries were secondary to penetrating stab wounds. Active bleeding (eight patients), recurrent bleeding episodes (one patient), persistent pain and mass (one patient), leg edema, claudication, swelling (one patient), local hyperemia, and pain (one patient) were the presenting symptoms. Microcatheter systems were used for catheterization. We used n-butyl cyanoacrylate mixture as the embolizing agent in all patients. RESULTS: On angiograms the inferior gluteal artery (one patient), internal pudendal artery (one patient), perforating branch of the profundal femoral artery (six patients), superficial femoral artery (one patient), peroneal artery (two patients), and anterior tibial artery (one patient) were found to be injured. In all patients, the source of arterial bleeding could be reached, and a safe embolization was achieved. Nontarget embolization due to backflow of n-butyl cyanoacrylate mixture was detected in two patients and inguinal hematoma at the puncture site occurred in one patient. CONCLUSIONS: We conclude that embolization-particularly n-butyl cyanoacrylate embolization-is technically feasible in patients with penetrating peripheral arterial trauma.
Authors:
Ertugrul Mavili; Halil Donmez; Nevzat Ozcan; Yigit Akcali
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Publication Detail:
Type:  Journal Article     Date:  2007-08-08
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  30     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2007-11-05     Completed Date:  2008-02-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1124-9     Citation Subset:  IM    
Affiliation:
Department of Radiology, Erciyes University Medical Faculty, Kayseri 38039, Turkey. emavili@erciyes.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aneurysm, False / diagnosis,  therapy*
Angiography
Arteries / injuries*
Embolization, Therapeutic*
Female
Fluoroscopy
Humans
Leg Injuries / diagnosis,  therapy*
Male
Middle Aged
Radiography, Interventional
Treatment Outcome
Ultrasonography, Doppler
Wounds, Penetrating / diagnosis,  therapy*

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


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