Author/Editor		Kuhelj, Dimitrij; Šurlan, Miloš; Ključevšek, Tomaž; Berden, Pavle; Klančar, Janez; Kunst, Tomaž; Kocijančič, Ksenija; Salapura, Vladka; Popovič, Peter; Stankovič, Milenko
Title		Zdravljenje poškodb perifernih arterij s stentgrafti
Translated title		Emergency treatment of injured peripheral arteries by stentgrafts
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 10. mednarodni simpozij o urgentni medicini; 2003 jun 11-14; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2003
Volume		str. 104-7
Language		slo
Abstract		Purpose: To present our experience in the treatment of traumatic and iatrogenic peripheral arterial injuries by stentgraft (SG) implantation in the last three years. Materials and Methods: From May 2000 to February 2003, 8 patients were treated by stentgrafts due to iatrogenic pr traumatic bleedings and hematomas in peripheral arteries. In four patients SG were placed after interventional procedures - in three after PTA (rupture of AIC, A-V fistula in AFS and in a. interossea) and in one patient hematoma was developing on the puncture site after local lytic therapy. Two patients had SG implanted after surgical procedures- one after vascular surgery on AIC and another after osteosynthesis of femur - pressure of osteosynthetic material on deep femoral artery. Two patients were injured - one had an A-V fistula on ATP after shot- gun injury, the other was polythraumatised after suicide attempt, her brachiocephalic trunc was r,uptured and she was bleeding. SG (Jostents by Jomed) were implanted by interventional radiologists. Follow-up clinically and/or by doppler-US has been performed. Results: Technical success and therapeutic goal has been achieved in all 8 patients. Patient after local lytic therapy was operated because of bleeding on contralateral side (second punction site). In the patient after suicide attempt the subelavian artery occluded the next day (CTA control), but no symptoms were present. Conclusions: Our results suggest that peripheral bleedings and hematomas can be treated by minimaly invasive percutaneus approach in urgent conditions with a high success.
Descriptors		ARTERIES BLOOD VESSEL PROSTHESIS STENTS