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.
Stent-graft Endovascular Aneurysm Vascular injury
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