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Titolo:
ENDOVASCULAR GRAFT REPAIR OF PENETRATING SUBCLAVIAN ARTERY INJURIES
Autore:
PATEL AV; MARIN ML; VEITH FJ; KERR A; SANCHEZ LA;
Indirizzi:
ALBERT EINSTEIN COLL MED,MONTEFIORE MED CTR,DIV VASC SURG,DEPT SURG,111 E 210TH ST NEW YORK NY 10467 ALBERT EINSTEIN COLL MED,MONTEFIORE MED CTR,DIV VASC SURG,DEPT SURG NEW YORK NY 10467 ALBERT EINSTEIN COLL MED,MONTEFIORE MED CTR,DEPT RADIOL,DIV INTERVENTRADIOL NEW YORK NY 10467
Titolo Testata:
Journal of endovascular surgery
fascicolo: 4, volume: 3, anno: 1996,
pagine: 382 - 388
SICI:
1074-6218(1996)3:4<382:EGROPS>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXPERIENCE;
Keywords:
STENT-GRAFTS; ENDOVASCULAR GRAFTS; COVERED STENTS; ENDOLUMINAL GRAFTS; PSEUDOANEURYSM; ARTERIOVENOUS FISTULA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
11
Recensione:
Indirizzi per estratti:
Citazione:
A.V. Patel et al., "ENDOVASCULAR GRAFT REPAIR OF PENETRATING SUBCLAVIAN ARTERY INJURIES", Journal of endovascular surgery, 3(4), 1996, pp. 382-388

Abstract

Purpose: Penetrating subclavian arterial injuries are often difficultto treat. Standard surgical techniques require wide exposure and dissection in traumatized areas, which is often challenging. This report summarizes the early results of endovascularly placed stented grafts for the treatment of penetrating subclavian arterial trauma. Methods: Six patients with penetrating injuries of the subclavian artery had stented grafts inserted to repair five pseudoaneurysms and one arteriovenous fistula. The stented grafts consisted of a polytetrafluoroethylene graft sutured over a balloon-expandable Palmaz stent. The devices wereinserted from an ipsilateral brachial arteriotomy and deployed using fluoroscopic guidance in the operating room. Results: Immediate success was obtained in all procedures (100%). All patients continue to havepatent grafts with a follow-up ranging from 7 to 30 months (mean 19 months). The only procedure-related complication was the need for a brachial artery patch angioplasty at the site of device insertion in the first patient. There was one other patient who developed a stent fracture at 8 months; a second stent was inserted. Duplex studies up to 24 months later show no recurrence in this patient. Conclusions: Endovascular stented grafts offer an effective, less invasive alternative to standard techniques in treating traumatic arterial lesions. Early results are encouraging, but long-term follow-up will be necessary to fullydelineate the effectiveness of this technique.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/10/20 alle ore 09:46:28