Abstract:
Twenty-nine cases of post-traumatic false aneurysms and arteriovenous fistulas (AVF), with a mean follow-up of 24 months (1-65 months), are presented here. Diagnosis was established by color duplex and arteriogram. The time between injury and treatment varied between 3 days and 61 months. Endovascular treatment was accomplished using a covered Palmaz stent [vein, polytetrafluoroethylene (PTFE), or polyester], Corvita endoluminal graft, or a Wallgraft. Complimentary treatment of a branch injury was performed using a detachable balloon in one patient. The initial result was favorable for all patients. One case of asymptomatic stenosis of an iliac stent graft and three occlusions of the stent (one subclavian, one axillary, and one internal carotid) were registered during the follow-up period, and no clinical manifestations of the occlusions were reported. Endovascular treatment of post-traumatic false aneurysms and AVF appears to be a promising alternative for treatment of these lesions. Less pain and disability as well as rapid recovery time and lower cost after endovascular treatment compare favorably to the standard surgical technique.
Registro:
Documento: |
Artículo
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Título: | Endovascular stent-graft treatment of traumatic arterial lesions |
Autor: | Parodi, J.C.; Schönholz, C.; Ferreira, Lł.M.; Bergan, J. |
Filiación: | Department of Vascular Surgery, Inst. Cardiovascular de Buenos Aires, Capital Federal, Argentina Dept. of Interventional Radiology, Clinica la Sagrada Familia, Capital Federal, Argentina Department of Surgery, Scripps Memorial Hospital, San Diego, CA, United States Department of Vascular Surgery, Inst. Cardiovascular de Buenos Aires, Blanco Encalada 1543, 1428 Capital Federal, Argentina
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Palabras clave: | adolescent; adult; aged; arteriovenous fistula; artery injury; article; clinical article; cost benefit analysis; device; disease duration; endovascular surgery; false aneurysm; female; follow up; graft occlusion; graft patency; human; male; postoperative complication; priority journal; stent; surgical technique |
Año: | 1999
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Volumen: | 13
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Número: | 2
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Página de inicio: | 121
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Página de fin: | 129
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DOI: |
http://dx.doi.org/10.1007/s100169900230 |
Título revista: | Annals of Vascular Surgery
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Título revista abreviado: | Ann. Vasc. Surg.
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ISSN: | 08905096
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CODEN: | AVSUE
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Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_08905096_v13_n2_p121_Parodi |
Referencias:
- Elkin, D.C., Debakey, M.E., (1955) Surgery in World War II: Vascular Surgery, , Washington, DC: Office of the Surgeon General, Dept. of Army
- Rich, N.M., Spencer, F.C., (1978) Vascular Trauma, , Philadelphia: WB Saunders
- Parodi, J.C., Barone, H.D., Schonholz, C.J., Endovascular treatment of aortoiliac aneurysms and arteriovenous fistulas with stented dacron grafts (1993) Current Critical Problems in Vascular Surgery, 4, p. 264. , Veith FJ, ed. St. Louis: Quality Medical Publishing
- Terry, P.J., Houser, E.E., Rivera, F.J., Palmaz, J.C., Sarosdy, M.F., Percutaneous aortic stent placement for life threatening aortic rupture due to metastatic germ cell tumor (1995) J Urol, 153, pp. 1631-1634
- May, J., White, G., Waugh, R., Yu, W., Harris, J., Transluminal placement of a prosthetic graft-stent device for treatment of subclavian artery aneurysm (1993) J Vasc Surg, 18, pp. 1056-1059
- Chalmers, R.T., Brittenden, J., Bradbury, A.W., The use of endovascular stented grafts in the management of traumatic false aneurysms: A caveat (1995) J Vasc Surg, 22, pp. 337-338
- Marin, M.L., Veith, F.J., Panetta, T.F., Percutaneous transfemoral insertion of a stented graft to repair a traumatic femoral arteriovenous fistula (1993) J Vasc Surgery, 18, pp. 299-302
- Marin, M.L., Veith, F.J., Panetta, T.F., Transluminally placed endovascular stented graft repair for arterial trauma (1994) J Vasc Surg, 20, pp. 466-472
- Becker, G.J., Benenati, J.F., Zemel, G., Percutaneous placement of a balloon-expandable intraluminal graft for life-threatening subclavian arterial hemorrhage (1991) J Vasc Interv Radiol, 2, pp. 225-229
- Parodi, J.C., Endovascular repair of abdominal aortic aneurysms (1993) Adv Vasc Surg, 1, pp. 85-106
Citas:
---------- APA ----------
Parodi, J.C., Schönholz, C., Ferreira, Lł.M. & Bergan, J.
(1999)
. Endovascular stent-graft treatment of traumatic arterial lesions. Annals of Vascular Surgery, 13(2), 121-129.
http://dx.doi.org/10.1007/s100169900230---------- CHICAGO ----------
Parodi, J.C., Schönholz, C., Ferreira, Lł.M., Bergan, J.
"Endovascular stent-graft treatment of traumatic arterial lesions"
. Annals of Vascular Surgery 13, no. 2
(1999) : 121-129.
http://dx.doi.org/10.1007/s100169900230---------- MLA ----------
Parodi, J.C., Schönholz, C., Ferreira, Lł.M., Bergan, J.
"Endovascular stent-graft treatment of traumatic arterial lesions"
. Annals of Vascular Surgery, vol. 13, no. 2, 1999, pp. 121-129.
http://dx.doi.org/10.1007/s100169900230---------- VANCOUVER ----------
Parodi, J.C., Schönholz, C., Ferreira, Lł.M., Bergan, J. Endovascular stent-graft treatment of traumatic arterial lesions. Ann. Vasc. Surg. 1999;13(2):121-129.
http://dx.doi.org/10.1007/s100169900230