Endovascular approaches for traumatic arterial lesions

T. Ohki, F. J. Veith, M. L. Marin, J. Cynamon, L. A. Sanchez

Research output: Contribution to journalReview article

44 Scopus citations

Abstract

Vascular injuries caused by blunt or penetrating trauma can be challenging to diagnose and treat, particularly when they involve central vessels. Endovascular treatment for vascular trauma includes the placement of embolization coils and intravascular stents and the employment of stented grafts. The use of stented grafts appears to be associated with decreased blood loss, a less invasive insertion procedure, reduced requirements for anesthesia, and a limited need for an extensive dissection in a traumatized field. These advantages are especially important in patients with central arteriovenous fistulas or false aneurysms, particularly those who are critically ill from other coexisting injuries or medical comorbidities. In these circumstances, the use of stented grafts already appears justified to treat traumatic central arterial lesions. Endovascular grafts are important tools for the treatment of vascular trauma, and they should be included in the armamentarium of the vascular surgeon.

Original languageEnglish (US)
Pages (from-to)272-285
Number of pages14
JournalSeminars in Vascular Surgery
Volume10
Issue number4
StatePublished - Dec 1 1997

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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    Ohki, T., Veith, F. J., Marin, M. L., Cynamon, J., & Sanchez, L. A. (1997). Endovascular approaches for traumatic arterial lesions. Seminars in Vascular Surgery, 10(4), 272-285.