Unstable Patients With Retroperitoneal Vascular Trauma: An Endovascular Approach

Boufi, Mourad; Bordon, Sébastien; Dona, Bianca; Hartung, Olivier; Sarran, Anthony; Nadeau, S.; Maurin, C.; Alimi, Yves

doi:10.1016/j.avsg.2010.09.008

Cited by 18 publications

(8 citation statements)

References 14 publications

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“…Placement of covered stent grafts across external and common iliac artery injuries have been described; however, these have been small series. 54 55 Endovascular temporary balloon occlusion may be a temporizing measure to limit bleeding until exposure of the injured vessel can be obtained. 56 Angiographic embolization of the internal iliac artery or its branches with coils or gelfoam is common and is generally well tolerated.…”

Section: Zonementioning

confidence: 99%

Abdominal vascular trauma

Kobayashi

Costantini

Hamel

et al. 2016

Trauma Surg Acute Care Open

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Abdominal vascular trauma, primarily due to penetrating mechanisms, is uncommon. However, when it does occur, it can be quite lethal, with mortality ranging from 20% to 60%. Increased early mortality has been associated with shock, acidosis, hypothermia, coagulopathy, free intraperitoneal bleeding and advanced American Association for the Surgery of Trauma Organ Injury Scale grade. These patients often arrive at medical centers in extremis and require rapid surgical control of bleeding and aggressive resuscitation including massive transfusion protocols. The most important factor in survival is surgical control of hemorrhage and restoration of appropriate perfusion to the abdominal contents and lower extremities. These surgical approaches and the techniques of definitive vascular repair can be quite challenging, particularly to the inexperienced surgeon. This review hopes to describe the most common abdominal vascular injuries, their presentation, outcomes, and surgical techniques to control and repair such injuries.

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Section: Zonementioning

confidence: 99%

Abdominal vascular trauma

Kobayashi

Costantini

Hamel

et al. 2016

Trauma Surg Acute Care Open

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“…31,32 Treatment of visceral, iliac, and even peripheral artery injuries has been described. 33–36 This data is still only found in the form of isolated case reports. There has yet to be a well-designed trial looking at the efficacy of endovascular techniques to control vascular injuries after trauma in these anatomic locations.…”

Section: Vascular Injury At Other Locationsmentioning

confidence: 99%

Endovascular management of vascular trauma

Nagarsheth

DuBose

2014

Trauma

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There are an estimated 1.6 million traumatic injuries to vascular structures encountered every year at trauma centers across the country. The diagnosis and treatment of these injuries has been constantly evolving over the last 50 years. The advent of endovascular techniques, which were initially trialed and evaluated in the setting of atherosclerotic diseases, has revolutionized the way these injuries are managed. Certain injuries, such as blunt thoracic aortic injuries, are now almost exclusively treated via endovascular methods. In recent years, there has been a tremendous interest in applying endovascular technology to the treatment of vascular injuries in virtually every location in the body. With the expanded use of endovascular methods, complications have also been noted and are important for the trauma practitioner to be familiar with and identify. Herein, we will discuss the beginnings of endovascular techniques, its application, and complications.

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“…2006). Success rates vary from 75-100%, with complications occurring in very few patients, however, follow up was variable (Boufi, et al, 2011;Piffaretti, et al, 2007;Shah, et al, 2003). One of the larger series utilizing Wallgraft stent-grafts including 33 iliac artery injuries reports a post-procedure exclusion rate of 93.5%, a one-year exclusion rate of 91.3%, a one year primary patency rate of 76.4%, and bypass free rate of 74.3%.…”

Section: Iliacmentioning

confidence: 99%

“…Dente, David V. Feliciano ,2008;gracias, v. reilly, p. mckenny, m. velmahos, g ,2009;Ramirez, et al, 2004;Velmahos, et al, 2002). Re-bleeding, or continued hemorrhage following therapeutic angioembolization is rare, occurring in about 7% of cases (Boufi, et al, 2011;Gourlay, et al, 2005 Good outcomes with the placement of covered stent grafts across external and common iliac artery injuries (Figure 10) have been described, however these have been small series (Boufi, et al, 2011;Shah, et al, 2003;Starnes&Arthurs. 2006).…”

Section: Iliacmentioning

confidence: 99%

“…Increasingly CT scanning is being utilized for diagnosis of thoraco-abdominal vascular injury. Intravascular interventions such as covered stents have been increasingly utilized for treatment of thoracic, subclavian and iliac arterial injuries, structures which have classically been difficult to expose and treat surgically (Asensio, et al, 2001a;Boufi, et al, 2011;Carrick, et al, 2010;Castelli, et al, 2005;Cestero, et al, 2009;Demetriades, et al, 2008a;Demetriades, et al, 2008b;Starnes & Arthurs. 2006).…”

Section: Thoraco-abdominal Vascular Injurymentioning

confidence: 99%

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