Marcus Trauma Center, Emory University School of Medicine, 71741Grady Memorial Hospital, Atlanta, GA, USA.
Marcus Trauma Center, Morehouse School of Medicine, 71741Grady Memorial Hospital, Atlanta, GA, USA.
Vasc Endovascular Surg. 2021 Feb;55(2):192-195. doi: 10.1177/1538574420954576. Epub 2020 Sep 10.
Lower extremity vascular injuries following trauma are rare events that require prompt identification and management in order to prevent ischemia and limb loss. Endovascular approaches, rather than traditional open procedures, are increasingly used to treat a wide range of vascular disease. The use of endovascular repair for revascularization in the trauma setting is not routine but may provide an appealing alternative in select trauma patients and injuries. We present a case of successful endovascular repair with stent grafting of a superficial femoral artery intimal injury following a femur fracture in a 35-year-old morbidly obese female and review the current literature regarding the use of endovascular therapy in the trauma setting.
下肢血管损伤是创伤后罕见的事件，需要及时识别和处理，以防止缺血和肢体丧失。血管内方法，而不是传统的开放手术，越来越多地用于治疗广泛的血管疾病。血管内修复在创伤情况下用于血运重建并不是常规的，但在选择的创伤患者和损伤中可能提供有吸引力的替代方案。我们介绍了一位 35 岁肥胖女性股骨骨折后股浅动脉内膜损伤成功的血管内修复和支架置入的病例，并回顾了关于血管内治疗在创伤情况下的应用的当前文献。
