ORIGINAL ARTICLE   

Italian Journal of Vascular and Endovascular Surgery 2017 June;24(2):50-4

DOI: 10.23736/S1824-4777.17.01292-X

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Role of endovascular intervention in blunt arterial injuries: single center experience of tertiary hospital

Ahmed R. TAWFIK ✉

Department of Vascular Surgery, Faculty of Medicine, Kasr Ani Hospital, Cairo University, Cairo, Egypt

BACKGROUND: Vascular injury affecting the iliac vessels in patients suffering blunt pelvic trauma is rare but may have fatal consequences. This is a prospective study to document the incidence, and management of iliac artery injury in patients with blunt pelvic trauma, in our hospital considered our hospital is a tertiary hospital.
METHODS: Over a period of four years, all patients presented to causality unit experienced blunt pelvic trauma were included in this study; clinical presentation, presence and type of vascular injury, other injuries, management were documented.
RESULTS: Iliac artery injuries associating blunt pelvic trauma represented 0.16% (9 patients) of all trauma patients presented to the causality department. All of them were males and in the middle age group 8/9 patients had intimal dissection, while 1/9 patient had pseudo aneurysm. All were treated using covered stent. Two technical difficulties were faced during the procedures; slippage of the covered stent over its pre-mounted balloon, the other was that the distal intima dissected threatened the mouth of the profundal femoris artery. Both were successfully managed. There was no procedural related mortality or morbidity.
CONCLUSIONS: Endovascular management of iliac arterial injury is a good, safe, and less invasive procedural in patients with blunt pelvic trauma in whom open surgical interventions carry a high propensity of associated venous and/or visceral injuries.

KEY WORDS: Blood vessels - Wounds, nonpenetrating - Endovascular procedures - Stents