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Endovascular management of traumatic pseudoaneurysms
Lauren Shreve1, Maha Jarmakani1, Hanna Javan1
1Department of Radiological Sciences, University of California, Irvine, 101 The City Drive South, Rm 115 Rte 140, Orange, CA, 92868, USA.
CVIR Endovascular
|November 27, 2020
Summary
Endovascular treatment effectively addresses traumatic pseudoaneurysms (PAs) in visceral and extremity arteries. This minimally invasive approach shows high success rates with few complications, reducing reintervention needs.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Trauma Management
Background:
- Traumatic pseudoaneurysms (PAs) pose a significant risk of rupture, leading to life-threatening hemorrhage.
- Prompt treatment is crucial for managing these vascular injuries.
Purpose of the Study:
- To evaluate the technical and clinical outcomes of endovascular treatment for traumatic pseudoaneurysms.
- To assess the efficacy and safety of minimally invasive interventions for PA management.
Main Methods:
- Retrospective analysis of patients undergoing endovascular PA treatment from 2012-2018.
- Technical success defined by angiographic absence of PA filling post-embolization.
- Clinical success defined by sustained PA treatment without rebleeding or reintervention.
Main Results:
- 35 patients with visceral (splenic, hepatic, renal) and extremity PAs treated.
- High technical success rate (85.7%) and clinical success rate (71.4%).
- No PA rebleeding or reintervention post-discharge; low complication rates observed.
Conclusions:
- Endovascular treatment is an effective and safe option for traumatic pseudoaneurysms.
- The procedure is associated with minimal complications and low reintervention rates.
- This approach offers a viable alternative to open surgery for PA management.
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