Abstract PURPOSE: To assess the feasibility and effectiveness of emergency endovascular treatment of acute arterial injuries after orthopedic surgery. MATERIALS AND METHODS: Fifteen patients (mean age 68.3 years) with acute arterial injuries after orthopedic surgery were observed, in particular, 5 patients with pseudoaneurysm, 9 patients with active bleeding, and 1 patient with arterial dissection. Transarterial embolization (TAE) and positioning of covered and noncovered stents were the treatments performed. Follow-up after stent implantation (mean 36 months) was performed with color Doppler US (CDU) at 1, 3, 6, and 12 months and yearly thereafter. Plain X-ray was performed to evidence dislodgment or fracture of the graft. A minimum of 12 months' follow-up is available after TAE. RESULTS: Immediate technical success was obtained in all cases. No major complications occurred. Overall clinical success rate was 100%. During mean follow-up, stent-graft occlusions did not occurred. No recurrence and/or consequence of TAE was registered during a minimum follow-up of 12 months. CONCLUSIONS: Percutaneous treatment is a feasible and safe tool for treating arterial injuries because it can provide fast and definitive resolution of the damage. This low-invasiveness approach can be proposed as first-line treatment in patients with acute injuries after orthopedic surgery.
|Data di pubblicazione:||2012|
|Titolo:||Endovascular Treatment in Emergency Setting of Acute Arterial Injuries After Orthopedic Surgery.|
|Rivista:||CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY|
|Codice identificativo ISI:||WOS:000304162700012|
|Codice identificativo Scopus:||2-s2.0-84864321131|
|Codice identificativo Pubmed:||21691918|
|Appare nelle tipologie:||Articolo su Rivista|