| Endovascular treatment for traumatic injuries of the peripheral arteries following blunt trauma. | |
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MedLine Citation:
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PMID: 17543309 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Gabriele Piffaretti; Matteo Tozzi; Chiara Lomazzi; Nicola Rivolta; Roberto Caronno; Domenico Laganà; Gianpaolo Carrafiello; Patrizio Castelli |
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Publication Detail:
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Type: Journal Article Date: 2007-05-31 |
Journal Detail:
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Title: Injury Volume: 38 ISSN: 0020-1383 ISO Abbreviation: Injury Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-08-24 Completed Date: 2008-03-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0226040 Medline TA: Injury Country: Netherlands |
Other Details:
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Languages: eng Pagination: 1091-7 Citation Subset: IM |
Affiliation:
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Vascular Surgery-Department of Surgery, University of Insubria-Varese, Italy. gabriele.piffaretti@tiscali.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arteries / injuries* Blood Vessel Prosthesis Implantation / instrumentation* Follow-Up Studies Humans Injury Severity Score Male Middle Aged Retrospective Studies Stents* Treatment Outcome Wounds, Nonpenetrating / therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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