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Endovascular Treatment in Emergency Setting of Acute Arterial Injuries After Orthopedic Surgery

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Abstract

Purpose

To assess the feasibility and effectiveness of emergency endovascular treatment of acute arterial injuries after orthopedic surgery.

Materials and Methods

Fifteen patients (mean age 68.3 years) with acute arterial injuries after orthopedic surgery were observed, in particular, 5 patients with pseudoaneurysm, 9 patients with active bleeding, and 1 patient with arterial dissection. Transarterial embolization (TAE) and positioning of covered and noncovered stents were the treatments performed. Follow-up after stent implantation (mean 36 months) was performed with color Doppler US (CDU) at 1, 3, 6, and 12 months and yearly thereafter. Plain X-ray was performed to evidence dislodgment or fracture of the graft. A minimum of 12 months’ follow-up is available after TAE.

Results

Immediate technical success was obtained in all cases. No major complications occurred. Overall clinical success rate was 100%. During mean follow-up, stent-graft occlusions did not occurred. No recurrence and/or consequence of TAE was registered during a minimum follow-up of 12 months.

Conclusions

Percutaneous treatment is a feasible and safe tool for treating arterial injuries because it can provide fast and definitive resolution of the damage. This low-invasiveness approach can be proposed as first-line treatment in patients with acute injuries after orthopedic surgery.

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Authors and Affiliations

  1. Interventional Radiology, Department of Radiology, Insubria University, 57, 21100, Varese, Italy

    Gianpaolo Carrafiello, Federico Fontana, Monica Mangini, Anna Maria Ierardi, Domenico Laganà, Filippo Piacentino, Francesco Alberto Vizzari, Emanuela Spanò & Carlo Fugazzola

Authors
  1. Gianpaolo Carrafiello
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  2. Federico Fontana
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  3. Monica Mangini
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  4. Anna Maria Ierardi
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  5. Domenico Laganà
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  6. Filippo Piacentino
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  7. Francesco Alberto Vizzari
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  8. Emanuela Spanò
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  9. Carlo Fugazzola
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Correspondence to Gianpaolo Carrafiello.

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Carrafiello, G., Fontana, F., Mangini, M. et al. Endovascular Treatment in Emergency Setting of Acute Arterial Injuries After Orthopedic Surgery. Cardiovasc Intervent Radiol 35, 537–543 (2012). https://doi.org/10.1007/s00270-011-0207-x

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  • DOI: https://doi.org/10.1007/s00270-011-0207-x

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