Urgent endovascular stent-graft placement for traumatic penetrating subclavian artery injuries
| Autor: | Rosana Ceratto, Pedro Lylyk, Yacov Berlatzky, John M. Gomori, Haim Anner, Gustavo Rajz, José E. Cohen, Anthony Verstandig, Alex Klimov, Savvas Grigoriadis |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Subclavian Artery Arteriovenous fistula Wounds Penetrating Blood Vessel Prosthesis Implantation Pseudoaneurysm Angioplasty medicine.artery medicine Humans Ultrasonics Prospective Studies cardiovascular diseases Subclavian artery business.industry Angiography Stent Arteriovenous malformation Critical limb ischemia medicine.disease Surgery Stenosis surgical procedures operative Neurology cardiovascular system Female Stents Neurology (clinical) Radiology medicine.symptom Carotid Artery Injuries business Follow-Up Studies |
| Zdroj: | Journal of the Neurological Sciences. 272:151-157 |
| ISSN: | 0022-510X |
| DOI: | 10.1016/j.jns.2008.05.016 |
| Popis: | Penetrating injuries may infrequently cause pseudoaneurysms, lacerations and arteriovenous fistulas involving the subclavian artery. These injuries present with life-threatening bleedings, associated regional injuries and critical limb ischemia and although surgery has been considered the treatment of choice, subclavian injuries pose a real surgical challenge. We prospectively examined data of six patients presenting with penetrating subclavian artery injuries that were treated by urgent endovascular stent-graft placements. All stent-grafts were deployed successfully achieving complete exclusion of the pseudoaneurysm, control of bleeding and reconstruction of the injured artery. No procedural complications, stent thrombosis or stent infections occurred during hospitalization. One patient developed stenosis at 7 months, which required angioplasty. The series mean clinical and ultrasound-CTA follow-up is 38 +/− 19.7 months (range 11–60 months) and 28 +/− 19.1 months (range 6–58 months), respectively. This series shows the feasibility of endovascular repair by means of stent-grafts for selected patients with acute penetrating injuries of the subclavian arteries. This approach proved to be safe and effective in restoring the arterial lumen and patency, excluding the pseudoaneurysms and controlling the bleeding caused by subclavian lacerations. Mid-term follow-up on stent-graft patency rates are encouraging. |
| Databáze: | OpenAIRE |
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