Travmatik vasküler yaralanmalarda endovasküler ve kısa dönem sonuçları
Küçük Resim Yok
Tarih
2006
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Tedavileri endovasküler yolla yapılan travmatik vasküler yaralanmaların kısa dönem sonuçları değerlendirildi. Çalışma planı: Travmatik vasküler yaralanma sonucu, renkli Doppler ultrasonografi ve/veya dijital subtraksiyon anjiografi ile arteriyovenöz fistül ve/veya pödoanevrizma saptanan dokuz olgu (7 erkek, 2 kadın; ort. yaş 39.8; dağılım 14-75) kaplı stentler ile tedavi edildi. Ekstravazasyon izlenen durumlarda balon kateterle fiksasyon veya ikinci bir stent uygulaması yapıldı. Olgular 72 saat içinde taburcu edildi. İşlem sonrası klinik muayene, renkli Doppler ultrasonografi ve dijital subtraksiyon anjiyografi incelemeleriyle stend açıklıkları değerlendirildi. Bulgular: Üç olguda psödoanevrizma, dört olguda arteriyovenöz fistül, iki olguda ise psödoanevrizmanın eşlik ettiği arteriyovenöz fistül vardı. Arteriyovenöz fistül bulunan hastalarda, fistüllerin ikisi yüzeyel femoral arter, biri anterior tibial arter, biri ana iliyak arter, biri eksternal iliyak arter, biri de popliteal arter ile ven arasındaydı. Psödoanevrizmalar brakiyal arter, aksiller arter ve anterior tibial arterden kaynaklanıyordu. Tedavide dört olguda balon ekspandable, beş olguda self ekspandable kaplı stentler kullanıldı. Teknik başarı %100 olarak değerlendirildi. Ortalama 14.7 ay takip edilen olgularda stent açıklıkları %100 olarak saptandı. Sonuç: Travmatik vasküler yaralanmaların tedavisinde uygun lezyonlarda, başarı ve açıklık oranları yüksek olan endovasküler yaklaşım, cerrahi tedaviye alternatif bir seçenek olarak düşünülebilir.
Background: Short term results of endovascular therapy in traumatic vascular injuries were evaluated. Methods: Nine patients (7 men, 2 women; mean age 39.8 years; range 14 to 75 years) who had traumatic vascular injuries and in whom pseudoaneurysm and/or arteriovenous fistulas were demonstrated by color Doppler ultrasonography and/or digital subtraction angiography, were treated with stent-grafts. In case of contrast leakage balloon fixation was performed or another cover stent was deployed. Patients were discharged in 72 hours. Following the procedures, stent patencies were evaluated by clinical examination, color Doppler ultrasonography and digital subtraction angiography. Results: Three cases had a pseudoaneurysm, four cases had arteriovenous fistulas and two cases had pseudoaneurysms associated with arterivenous fistulas. Two of the arteriovenous fistulas were between superficial femoral artery and vein, one was between anterior tibial artery and vein, one was between common iliac artery and vein, and one was between external iliac artery and vein. Pseudoaneurysms were originating from brachial, axillary and anterior tibial arteries, respectively. Balloon expandable cover stents were used in 4 patients and self-expandable cover stents were used in 5 patients. Technical success was 100%, and patency rate was 100% during a mean follow up of 14.7 months. Conclusion: Endovascular approach which has a high success and patency rate, may be an alternative to surgical therapy in suitable lesions in the treatment of traumatic vascular injuries.
Background: Short term results of endovascular therapy in traumatic vascular injuries were evaluated. Methods: Nine patients (7 men, 2 women; mean age 39.8 years; range 14 to 75 years) who had traumatic vascular injuries and in whom pseudoaneurysm and/or arteriovenous fistulas were demonstrated by color Doppler ultrasonography and/or digital subtraction angiography, were treated with stent-grafts. In case of contrast leakage balloon fixation was performed or another cover stent was deployed. Patients were discharged in 72 hours. Following the procedures, stent patencies were evaluated by clinical examination, color Doppler ultrasonography and digital subtraction angiography. Results: Three cases had a pseudoaneurysm, four cases had arteriovenous fistulas and two cases had pseudoaneurysms associated with arterivenous fistulas. Two of the arteriovenous fistulas were between superficial femoral artery and vein, one was between anterior tibial artery and vein, one was between common iliac artery and vein, and one was between external iliac artery and vein. Pseudoaneurysms were originating from brachial, axillary and anterior tibial arteries, respectively. Balloon expandable cover stents were used in 4 patients and self-expandable cover stents were used in 5 patients. Technical success was 100%, and patency rate was 100% during a mean follow up of 14.7 months. Conclusion: Endovascular approach which has a high success and patency rate, may be an alternative to surgical therapy in suitable lesions in the treatment of traumatic vascular injuries.
Açıklama
Anahtar Kelimeler
Cerrahi, Kalp ve Kalp Damar Sistemi
Kaynak
Türk Göğüs Kalp Damar Cerrahisi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
2
