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Blunt Mesenteric Vascular Injuries: Endovascular Management and Midterm Outcomes
Aditya Safaya1, Francis X Carroll1, Igor A Laskowski1
1Division of Vascular Surgery, New York Medical College, Westchester Medical Center, Valhalla, NY, USA.
EJVES Vascular Forum
|September 30, 2021
Summary
Endovascular repair effectively treated blunt traumatic visceral artery injuries in two young males, showing positive midterm outcomes. Further research is needed to confirm long-term safety and efficacy of stenting for these rare injuries.
Area of Science:
- Trauma Surgery
- Vascular Surgery
- Interventional Radiology
Background:
- Blunt traumatic visceral artery injuries are rare, life-threatening, and lack specific management guidelines.
- This study addresses the management challenges and outcomes of such injuries.
Observation:
- Two male patients (18 and 15 years old) sustained blunt traumatic visceral artery injuries.
- Injuries included infrarenal aortic, celiac artery (CA), and superior mesenteric artery (SMA) damage.
- Both patients underwent endovascular repair for their vascular injuries.
Findings:
- Successful endovascular repair was achieved using nitinol and balloon-expandable stents for CA and SMA injuries.
- A 12-month follow-up demonstrated stent patency and asymptomatic patients in both cases.
- Endovascular techniques offer a viable treatment option for traumatic visceral artery injuries.
Implications:
- Endovascular repair of traumatic mesenteric artery injuries shows promising midterm results.
- More data are required to establish long-term safety, patency, and optimal indications for stenting in these injuries.
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