Endovascular treatment for traumatic injuries of the peripheral arteries following blunt trauma

Objectives: The continued advances in imaging and stent/stent-graft technology have considerably expanded the indications for endovascular approach also in vascular trauma. We report our institutional experience with endovascular treatment of peripheral arterial injuries after blunt trauma. Methods: Between January 2000 and June 2006 out of a series of 81 patients, 10 mate patients (mean age of 50 +/- 14 years) with peripheral arterial injuries were managed endovascularty. At admission, haemorrhagic shock was present in three patients. Artery location involved common femoral (n = 2), subclavian (n = 2), axillary (n = 2), external iliac (n = 2), superficial femoral (n = 1), and popliteal (n = 1). Type of lesion was as follows: pseudoaneurysm (n = 4), dissection (n = 4), expanding haematoma (n = 1), and arterio-venous fistula (n = 1). Follow-up program included visit and duplex-ultrasonography, X-rays and/or spiral-computed tomography at 6-month interval during the first year, and yearly thereafter. Results: The lesion was excluded in all cases. All patients survived. Major complications did not occur. Mean hospitalisation was 13 days. Limb-salvage was 100%. Followup ranged from 3 to, 60 months (mean 16); a late occlusion of a popliteal stent-graft was managed with another endovascular procedure. Conclusion: In our experience, endovascular treatment of vascular injuries after blunt trauma was feasible and effective.