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Endovascular Therapy And Controversies In The Management Of Vascular Trauma.

R Jacks1, E Degiannis2

  • 1Department 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.

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society
|May 10, 2014
PubMed
Summary

Endovascular techniques offer a minimally invasive approach to treating vascular injuries, showing promise especially for aortic injuries. Further research is needed to define optimal applications compared to open surgery.

Keywords:
Traumaaorta popliteal arterycarotid arteryendovascularsubclavian arteryvascular injuryvascular trauma

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Vascular trauma management has evolved significantly with endovascular techniques.
  • Limited data and follow-up exist for many endovascular applications in vascular injuries.

Approach:

  • A literature review of endovascular treatment for vascular injuries was conducted over 13 years.
  • PubMed was utilized to gather publications on endovascular approaches to various vessel injuries.

Key Points:

  • Endovascular management is a minimally invasive option for vascular trauma.
  • Aortic injuries have the most extensive endovascular experience with favorable outcomes.
  • Current data is limited, necessitating more research for comparative effectiveness.

Conclusions:

  • Endovascular treatment is a valuable addition to surgical options for vascular injuries.
  • Encouraging results exist, particularly for aortic injuries.
  • More studies are required to establish the best indications for endovascular versus open repair.