Document Detail

Endovascular treatment for traumatic injuries of the peripheral arteries following blunt trauma.
MedLine Citation:
PMID:  17543309     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The continued advances in imaging and stent/stent-graft technology have considerably expanded the indications for endovascular approach also in vascular trauma. We report our institutional experience with endovascular treatment of peripheral arterial injuries after blunt trauma. METHODS: Between January 2000 and June 2006 out of a series of 81 patients, 10 male patients (mean age of 50+/-14 years) with peripheral arterial injuries were managed endovascularly. At admission, haemorrhagic shock was present in three patients. Artery location involved common femoral (n=2), subclavian (n=2), axillary (n=2), external iliac (n=2), superficial femoral (n=1), and popliteal (n=1). Type of lesion was as follows: pseudoaneurysm (n=4), dissection (n=4), expanding haematoma (n=1), and arterio-venous fistula (n=1). Follow-up program included visit and duplex-ultrasonography, X-rays and/or spiral-computed tomography at 6-month interval during the first year, and yearly thereafter. RESULTS: The lesion was excluded in all cases. All patients survived. Major complications did not occur. Mean hospitalisation was 13 days. Limb-salvage was 100%. Follow-up ranged from 3 to 60 months (mean 16); a late occlusion of a popliteal stent-graft was managed with another endovascular procedure. CONCLUSION: In our experience, endovascular treatment of vascular injuries after blunt trauma was feasible and effective.
Gabriele Piffaretti; Matteo Tozzi; Chiara Lomazzi; Nicola Rivolta; Roberto Caronno; Domenico Laganà; Gianpaolo Carrafiello; Patrizio Castelli
Related Documents :
9360219 - Transcranial magnetic stimulation: use of motor evoked potentials in the evaluation of ...
11090009 - Combined carotid artery injury and laryngeal fracture secondary to dog bite: case report.
14506829 - Complete femoral artery transection from blunt trauma.
18812699 - Oligonucleotide microarrays reveal regulated genes related to inward arterial remodelin...
6744139 - Arterial injuries.
9217319 - Management of primary blast injury.
545819 - Management of the papillae during intrarenal surgery.
25032059 - Emergent thrombectomy in a neonate with an upper extremity arterial thrombus.
11079669 - Cardiac troponin i elevation in acute pulmonary embolism is associated with right ventr...
Publication Detail:
Type:  Journal Article     Date:  2007-05-31
Journal Detail:
Title:  Injury     Volume:  38     ISSN:  0020-1383     ISO Abbreviation:  Injury     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-24     Completed Date:  2008-03-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0226040     Medline TA:  Injury     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1091-7     Citation Subset:  IM    
Vascular Surgery-Department of Surgery, University of Insubria-Varese, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Arteries / injuries*
Blood Vessel Prosthesis Implantation / instrumentation*
Follow-Up Studies
Injury Severity Score
Middle Aged
Retrospective Studies
Treatment Outcome
Wounds, Nonpenetrating / therapy*

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

Previous Document:  Isolation of pregnancy-associated glycoproteins from placenta of the American bison (Bison bison) at...
Next Document:  Capillary electrophoresis-high resolution sector field inductively coupled plasma mass spectrometry.