Treatment of Iatrogenic and Traumatic Vascular Lesions With Stent-Grafts

Authors : Fatih Öncü, Burak Mert Akhan, Abdullah Ozer, Koray Akkan, Baran Önal, Erhan T. Ilgit
Pages : 943-953
Doi:10.54005/geneltip.1682481
View : 149 | Download : 325
Publication Date : 2025-10-28
Article Type : Research Paper
Abstract :Aim: Purpose of this study is to report our experience with stent-graft applications in iatrogenic and traumatic vascular injuries. Methods: We report endovascular treatment of 65 patients (45 men, 20 women; age range 17 - 91 years-old, mean 60 ± 19 years), 65 iatrogenic and traumatic vascular lesions with stent-grafts. The localisations of the vascular lesions are as follows: 43 lower extremity, eight upper extremity, seven supra aortic, seven visceral. Early Doppler ultrasound imaging was performed before patient discharge. Results: Immediate technical success was achieved in 59 lesions (91%). In the remaining six lesions pathology continued and these cases were treated with accompanying embolisation (four with glue embolisation, one with vascular plug, one with concomitant stent-graft). Complications such as deformation or migration were not observed in any case. Follow-up was available for 53 lesions (mean follow-up 13 months, range 4-19 months). During the follow-up period, 13 cases of in-stent restenosis were observed. Seven cases of incomplete restenosis and two stent-graft occlusions were treated with balloon angioplasty, while one stent-graft occlusion was managed with the placement of an additional stent-graft. Three cases of in-stent restenosis were left untreated due to the absence of significant clinical symptoms. The primary patency rate was 76%, the primary assisted patency rate was 88%, and the secondary patency rate was 94%. Conclusions: Endovascular treatment of iatrogenic and traumatic vascular lesions with stent-grafts is a safe, effective and less invasive procedure.
Keywords : iyatrojenik, travma, arteriyovenöz fistül, psödoanevrizma, ekstravazasyon, diseksiyon, stent-greft, kaplı stent, endovasküler tedavi

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