Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492008000100010
Jornal Vascular Brasileiro
Case Report

Tratamento endovascular do trauma arterial dos membros

Endovascular management of extremity arterial trauma

Charles Angotti Furtado de Medeiros; Thais Cristina Hatsumura; Daniel Rassi Gusmão; Lucas Marcelo Dias Freire; Eduardo Faccini Rocha; Ana Terezinha Guillaumon

http://dx.doi.org/10.1590/S1677-54492008000100010 J Vasc Bras, vol.7, n1, p.56-61, 2008
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Resumo

Geralmente o tratamento das lesões arteriais traumáticas é realizado com técnicas tradicionais de revascularização. Cada vez mais, porém, as lesões vasculares podem ser corrigidas com eficiência por meio de procedimentos minimamente invasivos. Nós descrevemos quatro casos de trauma arterial dos membros que foram tratados por técnicas endovasculares num centro de referência. Todos os pacientes evoluíram satisfatoriamente durante o seguimento de 15 meses. Nós sugerimos que o tratamento endovascular é uma alternativa promissora em relação à cirurgia para pacientes selecionados com trauma arterial dos membros.

Palavras-chave

Trauma vascular, pseudo-aneurisma, isquemia, tratamento de urgência

Abstract

Treatment of arterial traumatic injuries is usually performed with conventional revascularization techniques. However, vascular injuries can increasingly be repaired efficiently through minimally invasive procedures. We report four cases of extremity arterial trauma treated by endovascular techniques in a reference center. All patients showed satisfactory development over a 15-month follow-up. We suggest that endovascular therapy is a promising alternative to surgery for selected patients with extremity arterial trauma.

Keywords

Vascular trauma, pseudoaneurysm, ischemia, emergency treatment

References

Deguara J, Ali T, Modarai B, Burnand KG. Upper limb ischemia: 20 years experience from a single center. Vascular. 2005;13:84-91.

Huynh TT, Pham M, Griffin LW. Management of distal femoral and popliteal arterial injuries: an update. Am J Surg. 2006;192:773-8.

Peck MA, Rasmussen TE. Management of blunt peripheral arterial injury. Perspect Vasc Surg Endovasc Ther. 2006;18:159-73.

Vasdekis SN, Kakisis JD, Lazaris AM, Panayiotides JG, Angeli AA, Karkaletsis KG. Common femoral artery injury secondary to tennis ball strike. J Vasc Surg. 2006;44:1350-2.

Starnes BW, Arthurs ZM. Endovascular management of vascular trauma. Perspect Vasc Surg Endovasc Ther. 2006;18:114-29.

Criado E, Marston WA, Ligush J, Mauro MA, Keagy BA. Endovascular repair of peripheral aneurysms, pseudoaneurysms and arteriovenous fistulas. Ann Vasc Surg. 1997;11:253-63.

du Toit DF, Strauss DC, Blaszczyk M, de Villiers R, Warren BL. Endovascular treatment of penetrating thoracic outlet arterial injuries. Eur J Vasc Endovasc Surg. 2000;19:489-95.

du Toit DF, Leith JG, Strauss DC, Blaszczyk M, Odendaal JV, Warren BL. Endovascular management of traumatic cervicothoracic arteriovenous fistula. Br J Surg. 2003;90:1516-21.

Kember PG, Wood RF, Gaines PA. Endovascular management of a non-penetrating traumatic axillary artery occlusion. Eur J Vasc Endovasc Surg. 1997;14:227-8.

Mattox KL, Hirshberg A. Traumatismo vascular. Cirurgia vascular. 2000:480-96.

Strauss DC, du Toit DF, Warren BL. Endovascular repair of occluded subclavian arteries following penetrating trauma. J Endovasc Ther. 2001;8:529-33.

Kuzniec S. Traumatismos vasculares. Cirurgia vascular. 2002:706-20.

Aun R, Leão PP. Tratamento dos ferimentos vasculares por métodos endovasculares. Cirurgia vascular. 2002:721-7.

Lönn L, Delle M, Karlström L, Risberg B. Should blunt arterial trauma to the extremities be treated with endovascular techniques?. J Trauma. 2005;59:1224-7.

Alvarez-Tostado J, Tulsyan N, Butler B, Rizzo A. Endovascular management of acute critical ischemia secondary to blunt tibial artery injury. J Vasc Surg. 2006;44:1101-3.

Johnson SF, Johnson SB, Strodel WE, Barker DE, Kearney PA. Brachial plexus injury: association with subclavian and axillary vascular trauma. J Trauma. 1991;31:1546-50.

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