Endovascular stent-graft applications in latrogenic vascular injuries.

Abstract

PURPOSE:

To report the results of covered stent applications in iatrogenic vascular injuries.

METHODS:

We report 17 patients (11 men, 6 women; age range 20-59 years, mean age 40 years) who underwent repair of different iatrogenic vascular lesions by means of endovascular covered stents. The patient population consisted of 8 femoral arteriovenous fistulae, 4 common femoral artery pseudoaneurysms, 1 subclavian artery pseudoaneurysm, 1 abdominal aortic aneurysm, 1 iliac artery perforation, 2 porto-biliary fistulae that developed during TIPS procedure. Balloon-expandable stent-grafts were used in all patients except one. Control studies were performed with angiography.

RESULTS:

Technical success was achieved in all 17 patients. The mean clinical follow-up period for all 17 patients was 8 months. There were no signs of stent migration or leaks in the control studies. Only one patient developed a hemodynamically insignificant stenosis at the proximal end of the stent. There have been no stent deformations or related complications during the follow-up period.

CONCLUSION:

Our short-term results suggest that endovascular treatment is a low-risk procedure and appears less invasive than surgery for the treatment of different types of iatrogenic vascular injuries. Intermediate and long-term results are not available.

• Authors: Feyyaz Baltacioğlu, N Cagatay Cimşit, Barbaros Cil, Saruhan Cekirge, Selim Ispir
• Journal: Cardiovascular and interventional radiology (Cardiovasc Intervent Radiol) 2003 Sep-Oct Vol. 26 Issue 5 Pg. 434-9 ISSN: 0174-1551 [Print] United States
• PMID: 14753300 (Publication Type: Journal Article)

Topics

• Adult
• Catheterization
• Female
• Humans
• Iatrogenic Disease
• Male
• Middle Aged
• Stents
• Treatment Outcome
• Vascular Diseases (etiology, therapy)