Macedo Francisco Igor B, Sciarretta Jason D, Salsamendi Jason, Karmacharya Jagajan, Romano Andrea, Namias Nicholas
Dewitt Daughtry Family Department of Surgery, Ryder Trauma Center, Jackson Memorial Hospital and University of Miami Miller School of Medicine, Miami, FL.
Dewitt Daughtry Family Department of Surgery, Ryder Trauma Center, Jackson Memorial Hospital and University of Miami Miller School of Medicine, Miami, FL.
Ann Vasc Surg. 2015 Feb;29(2):366.e5-366.e10. doi: 10.1016/j.avsg.2014.10.017. Epub 2014 Nov 24.
Popliteal vascular trauma remains a challenging entity and carries the greatest risk of limb loss among the lower extremity vascular injuries. Operative management of patients presenting with traumatic popliteal vascular injuries continues to evolve. We present a case of successful endovascular repair with stent grafting of an acute blunt popliteal artery injury. Endovascular repair of traumatic popliteal vascular injuries appears as an attractive alternative to surgical repair in a very selective group of patients. Further investigation is still needed to define the safety and feasibility of endovascular approach in the management of traumatic popliteal vascular injuries.
腘血管创伤仍然是一个具有挑战性的问题,并且在下肢血管损伤中导致肢体丧失的风险最高。对于出现创伤性腘血管损伤的患者,手术治疗方法仍在不断发展。我们报告一例成功采用支架植入术对急性钝性腘动脉损伤进行血管腔内修复的病例。对于经过严格筛选的患者群体,创伤性腘血管损伤的血管腔内修复似乎是手术修复的一个有吸引力的替代方案。仍需要进一步研究来确定血管腔内治疗方法在创伤性腘血管损伤管理中的安全性和可行性。