title: Endovascular Therapy And Controversies In The Management Of Vascular Trauma.
abstract: OBJECTIVE
  To review the advent of endovascular treatment of vascular injuries and its controversies.
  
  
  METHODS
  Literature review over the past 13 years using the PubMed search engine.
  
  
  RESULTS
  The management of vascular trauma has changed dramatically over the last decade. This is mainly due to the advent of advanced endovascular techniques and technologies. There are, however, a limited number of publications with a correspondingly small number of patients and lack of long-term follow-up. In this article, we discuss the injuries to different vessel groups and their respective endovascular approaches. Of the literature available, the endovascular management of aortic injuries still holds the most experience and has shown favorable results.
  
  
  CONCLUSIONS
  Endovascular management of vascular injuries is a new addition to the armamentarium of the surgeon. The fact that it is minimally invasive is a major advantage and the published data are encouraging. However, in order to determine which anatomical sites and circumstances are most appropriate for this method versus open surgery, more reports are necessary.
authors.affiliation: Department of Surgery, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa Milpark Hospital, Johannesburg, South Africa roovy@doctors.net.uk.
authors.forename: R
authors.initials: R
authors.lastname: Jacks
authors.affiliation: Department of Surgery, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa Milpark Hospital, Johannesburg, South Africa.
authors.forename: E
authors.initials: E
authors.lastname: Degiannis
keywords: Trauma; aorta popliteal artery; carotid artery; endovascular; subclavian artery; vascular injury; vascular trauma