Perspectives in vascular surgery and endovascular therapy
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Perspect Vasc Surg Endovasc Ther · Mar 2011
Review Historical ArticleVascular trauma historical notes.
This article provides a brief historical review of treatment of vascular trauma. Although methods for ligation came into use in the second century, this knowledge was lost during the Dark Ages and did not come back until the Renaissance. ⋯ Increased documentation has revealed that the current conflicts have resulted in more arterial injuries than in previous wars, likely because of improved body armor, improvised explosive device attacks, tourniquet use, and improved medical evacuation time. This brief review emphasizes the great value of mentorship and the legacy of the management of arterial and venous injuries to be passed on.
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Blunt aortic injury is second only to head injury as the most common cause of blunt trauma related death. The past several years have seen a tremendous growth in the endovascular treatment of such trauma. Short-term and medium-term follow-up data that are emerging seem to support this trend. In this article, the authors discuss about open and endovascular management of blunt aortic injury and provide the latest information regarding endovascular repair of such injuries.
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Perspect Vasc Surg Endovasc Ther · Mar 2011
Torso vascular trauma at an urban level-I trauma center.
Injuries to the great vessels of the torso are commonly seen and managed in busy urban trauma centers. This same injury complex is rarely seen in military conflicts, likely because of the high kinetic energy of weapons causing the wounds seen in this setting. Although most of the great advancements in trauma surgery over the past century have generally resulted from our wartime experience, civilian centers have contributed greatly to the understanding and management of torso vascular injuries. This article reviews the presentation and management of injuries to the great vessels of the torso from major penetrating and blunt trauma.
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Perspect Vasc Surg Endovasc Ther · Dec 2010
Case ReportsPseudo aneurysm of a 21 year old ePTFE femoro-femoral crossover graft: successful endovascular repair using an ePTFE lined nitinol stent graft.
With the advancement of technology and manufacturing of prosthetic grafts, non- anastomotic pseudoaneurysm arising from a graft is now uncommon. Here we report a case of non-anastomotic pseudo aneurysm occurring 21 years after implantation of ePTFE femoro-femoral crossover graft. An 80 year old female with a previous history of a femoro- femoral cross-over bypass surgery performed using a10 mm reinforced polytetrafluoroethylene graft presented with a pulsatile lump in her right groin. ⋯ The final angiographic results were excellent and showed resolution of the aneurysm with good flow through the graft and distal vessel. This type of complication is easily diagnosed by clinical examination and imaging studies, which display an aneurysm of the graft remote from the anastomosis. Percutaneous intervention with covered stent may offer an easy and safe way to treat this type of aneurysm.