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Endovascular Stent-Graft Applications in Iatrogenic Vascular Injuries

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Abstract

Purpose: To report the results of covered stent applications in iatrogenic vascular injuries. Methods: We report 17 patients (11 men, 6 women; age range 20–59 years, mean age 40 years) who underwent repair of different iatrogenic vascular lesions by means of endovascular covered stents. The patient population consisted of 8 femoral arteriovenous fistulae, 4 common femoral artery pseudoaneurysms, 1 subclavian artery pseudoaneurysm, 1 abdominal aortic aneurysm, 1 iliac artery perforation, 2 porto-biliary fistulae that developed during TIPS procedure. Balloon-expandable stent-grafts were used in all patients except one. Control studies were performed with angiography. Results: Technical success was achieved in all 17 patients. The mean clinical follow-up period for all 17 patients was 8 months. There were no signs of stent migration or leaks in the control studies. Only one patient developed a hemodynamically insignificant stenosis at the proximal end of the stent. There have been no stent deformations or related complications during the follow-up period. Conclusion: Our short-term results suggest that endovascular treatment is a low-risk procedure and appears less invasive than surgery for the treatment of different types of iatrogenic vascular injuries. Intermediate and long-term results are not available.

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Authors and Affiliations

  1. Department of Radiology, Marmara University School of Medicine, Istanbul, Turkey

    Feyyaz Baltacıoğlu & N. Çagatay Çim¸it

  2. Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey

    Barbaros Çil & Saruhan Çekirge

  3. Department of Vascular Surgery, Marmara University School of Medicine, Istanbul, Turkey

    Selim İspir

Authors
  1. Feyyaz Baltacıoğlu
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  2. N. Çagatay Çim¸it
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  3. Barbaros Çil
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  4. Saruhan Çekirge
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  5. Selim İspir
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Correspondence to Feyyaz Baltacıoğlu.

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Baltacıoğlu, F., Çim¸it, N., Çil, B. et al. Endovascular Stent-Graft Applications in Iatrogenic Vascular Injuries . CVIR 26, 434–439 (2003). https://doi.org/10.1007/s00270-003-0038-5

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