Transluminally placed endovascular stented graft repair for arterial trauma*,**,*,**
Section snippets
PATIENTS AND METHODS
Seven endovascular stented graft repairs of traumatic arterial lesions were performed in seven patients at Montefiore Medical Center in New York over a 14-month period. Details regarding the injury and the endovascular repair in the seven patients are presented in Table I.Informed consent for the placement of a stent graft device was obtained from each patient. All procedures were performed under fluoroscopic guidance in the operating room with the patient prepared for a standard surgical
RESULTS
As shown in Table I, seven patients received seven stented grafts to treat traumatic arterial lesions. The mean age of the patients was 41 years (range 20 to 78). Six patients were men. Four injuries occurred as a result of gunshot wounds (Fig. 2).
DISCUSSION
Prompt diagnosis and treatment of penetrating vascular trauma are required to avoid the late sequelae that may occur when important injuries are not appropriately treated. 10, 11, 12, 13 Traumatic arteriovenous fistulas and pseudoaneurysms involving nonessential vessels, such as branches of the hypogastric or deep femoral arteries, have been effectively treated by catheter-directed arterial embolization. 14, 15 Injuries to vital arteries have uniformly required direct surgical repair of the
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From the Division of Vascular Surgery, Department of Surgery, and the Division of Interventional Radiology, Department of Radiology (Drs. Cynamon and Bakal), Montefiore Medical Center/Albert Einstein College of Medicine, New York.
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Supported in part by grants from the U.S. Public Health Service (HL 02990-01), the James Hilton Manning and Emma Austin Manning Foundation, The Anna S. Brown Trust, and the New York Institute for Vascular Studies.
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Reprint requests: Michael L. Marin, MD, Division of Vascular Surgery, Montefiore Medical Center, 111 E. 210th St., New York, NY 10467.
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