The utility of endovascular stents in the treatment of blunt arterial injuries.
BACKGROUND
The objective of this review is to evaluate our institutional experience with percutaneously placed vascular stents in multiply injured patients with blunt arterial injuries.


METHODS
Patients were identified through our trauma registry from 9/95 through 12/99. All injuries were diagnosed by angiography. Palmaz and Wallstent prostheses were used.


RESULTS
Six patients had blunt arterial injuries. Age ranged from 20 to 67 years (average, 45). Each patient had one or more stents placed. There were no immediate complications related to stent placement. There were no deaths or complications attributable to stent placement. All of the patients survived to leave the hospital. Follow-up ranged from 1 month to 2 years with no occlusion, stenosis, or stent malfunction.


CONCLUSIONS
The use of interventional angiography and endovascular stenting is safe and efficacious in treating arterial injuries in certain circumstances.
Brandt
M M
MM
Department of Surgery, Division of Trauma, University of Michigan Health System, Ann Arbor, Michigan, USA. mmbrandt@med.umich.edu
Kazanjian
S
S
Wahl
W L
WL
D000328:Adult; D000368:Aged; D000792:Angiography; D001158:Arteries / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D015607:Stents; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000628:therapy*