Parodi J C, Schönholz C, Ferreira L M, Bergan J
Department of Vascular Surgery, Instituto Cardiovascular de Buenos Aires, Capital Federal, Argentina.
Ann Vasc Surg. 1999 Mar;13(2):121-9. doi: 10.1007/s100169900230.
Twenty-nine cases of post-traumatic false aneurysms and arteriovenous fistulas (AVF), with a mean follow-up of 24 months (1-65 months), are presented here. Diagnosis was established by color duplex and arteriogram. The time between injury and treatment varied between 3 days and 61 months. Endovascular treatment was accomplished using a covered Palmaz stent [vein, polytetrafluoroethylene (PTFE), or polyester], Corvita endoluminal graft, or a Wallgraft. Complimentary treatment of a branch injury was performed using a detachable balloon in one patient. The initial result was favorable for all patients. One case of asymptomatic stenosis of an iliac stent graft and three occlusions of the stent (one subclavian, one axillary, and one internal carotid) were registered during the follow-up period, and no clinical manifestations of the occlusions were reported. Endovascular treatment of post-traumatic false aneurysms and AVF appears to be a promising alternative for treatment of these lesions. Less pain and disability as well as rapid recovery time and lower cost after endovascular treatment compare favorably to the standard surgical technique.
本文报告了29例创伤后假性动脉瘤和动静脉瘘（AVF），平均随访24个月（1 - 65个月）。通过彩色双功超声和动脉造影确诊。受伤至治疗的时间在3天至61个月之间。采用带覆膜的Palmaz支架（静脉、聚四氟乙烯（PTFE）或聚酯）、Corvita腔内移植物或Wallgraft进行血管内治疗。1例患者使用可脱性球囊对分支损伤进行了辅助治疗。所有患者的初始结果均良好。随访期间记录到1例髂动脉支架移植物无症状性狭窄和3例支架闭塞（1例锁骨下动脉、1例腋动脉和1例颈内动脉），未报告闭塞的临床表现。创伤后假性动脉瘤和AVF的血管内治疗似乎是治疗这些病变的一种有前景的替代方法。与标准手术技术相比，血管内治疗后疼痛和残疾较轻，恢复时间快，成本较低。
