The use of balloon-expandable stent grafts for the management of acute arterial bleeding.

Abstract

PURPOSE:

To evaluate the efficacy and safety of balloon-expandable stent grafts in the emergency treatment of acute arterial hemorrhage.

MATERIALS AND METHODS:

Between July 2008 and December 2009, 15 patients with acute arterial hemorrhage from inflammatory vessel erosion or pseudoaneurysms (n = 9), noninflammatory pseudoaneurysms (n = 3), or iatrogenic vessel injury (n = 3) were treated with emergency stent graft implants. The primary study endpoints to determine treatment efficacy and safety were survival, complication rates, and freedom from recurrent hemorrhaging or reintervention. The secondary study endpoints were technical and clinical success.

RESULTS:

The survival rate was 73% with a mean follow-up of 119 days ± 220. The complication rate was 20%. The procedure was technically successful in 13 of 15 (87%) patients. One endoleak persisted and led to a reintervention rate of 7%. The bleeding ceased immediately after stent graft implantation in 14 patients.

CONCLUSIONS:

Implantation of balloon-expandable stent grafts is a safe and effective emergency treatment for acute arterial hemorrhage from visceral and peripheral vessels.

• Authors: Ulrike Stampfl, Christof-Matthias Sommer, Nadine Bellemann, Jürgen Weitz, Dittmar Böckler, Götz Martin Richter, Hans-Ulrich Kauczor, Boris Radeleff
• Journal: Journal of vascular and interventional radiology : JVIR (J Vasc Interv Radiol) Vol. 23 Issue 3 Pg. 331-7 (Mar 2012) ISSN: 1535-7732 [Electronic] United States
• PMID: 22289473 (Publication Type: Journal Article)
• Copyright: Copyright © 2012 SIR. Published by Elsevier Inc. All rights reserved.

Topics

• Acute Disease
• Adult
• Aged
• Aged, 80 and over
• Aneurysm, False (complications, diagnostic imaging, mortality, surgery)
• Arteries (injuries, surgery)
• Balloon Occlusion (adverse effects, instrumentation, mortality)
• Blood Vessel Prosthesis
• Blood Vessel Prosthesis Implantation (adverse effects, instrumentation, mortality)
• Endoleak (etiology, surgery)
• Endovascular Procedures (adverse effects, instrumentation, mortality)
• Female
• Germany
• Hemorrhage (diagnostic imaging, etiology, mortality, surgery)
• Humans
• Iatrogenic Disease
• Male
• Middle Aged
• Prosthesis Design
• Reoperation
• Stents
• Time Factors
• Tomography, X-Ray Computed
• Treatment Outcome
• Vascular System Injuries (complications, diagnostic imaging, mortality, surgery)