Document Detail


Endovascular treatment for traumatic injuries of the peripheral arteries following blunt trauma.
MedLine Citation:
PMID:  17543309     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Gabriele Piffaretti; Matteo Tozzi; Chiara Lomazzi; Nicola Rivolta; Roberto Caronno; Domenico Laganà; Gianpaolo Carrafiello; Patrizio Castelli
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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    
Affiliation:
Vascular Surgery-Department of Surgery, University of Insubria-Varese, Italy. gabriele.piffaretti@tiscali.it
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MeSH Terms
Descriptor/Qualifier:
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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