Successful covered stent‐graft treatment of superficial femoral arterial injury due to blunt trauma

Background Endovascular treatment is used for traumatic arterial injuries in the torso. However, the effectiveness of endovascular covered stent‐graft treatment for peripheral artery injury is unclear. We present a case of superficial femoral artery (SFA) injury successfully treated with a covered s...

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Main Authors: Takatoshi Koroki, Takuya Kuroki, Tomohiro Abe, Eiji Furukoji, Hidenobu Ochiai
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Acute Medicine & Surgery
Subjects:
Online Access:https://doi.org/10.1002/ams2.639
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author Takatoshi Koroki
Takuya Kuroki
Tomohiro Abe
Eiji Furukoji
Hidenobu Ochiai
author_facet Takatoshi Koroki
Takuya Kuroki
Tomohiro Abe
Eiji Furukoji
Hidenobu Ochiai
author_sort Takatoshi Koroki
collection DOAJ
description Background Endovascular treatment is used for traumatic arterial injuries in the torso. However, the effectiveness of endovascular covered stent‐graft treatment for peripheral artery injury is unclear. We present a case of superficial femoral artery (SFA) injury successfully treated with a covered stent‐graft. Case Report A 68‐year‐old man presented with traumatic lower limb injury and shock. Computed tomography angiography revealed left subtrochanteric fracture and hematoma with extravasation. Digital subtraction angiography revealed extravasation from a left SFA branch, and a pseudoaneurysm at the SFA trunk. We coil embolized the SFA branch, and treated the pseudoaneurysm with a covered stent‐graft. Computed tomography carried out 22 days later showed complete pseudoaneurysm exclusion and sufficient stent patency. Conclusion We successfully used a covered stent‐graft to treat SFA injury due to blunt trauma. A covered stent‐graft could be effective for peripheral artery injury.
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spelling doaj.art-e659068f638b4806b63014b6c3d68df92022-12-21T18:46:48ZengWileyAcute Medicine & Surgery2052-88172021-01-0181n/an/a10.1002/ams2.639Successful covered stent‐graft treatment of superficial femoral arterial injury due to blunt traumaTakatoshi Koroki0Takuya Kuroki1Tomohiro Abe2Eiji Furukoji3Hidenobu Ochiai4Department of Emergency and Critical Care Medicine University of Miyazaki Hospital Miyazaki JapanDepartment of Emergency and Critical Care Medicine University of Miyazaki Hospital Miyazaki JapanDepartment of Emergency and Critical Care Medicine University of Miyazaki Hospital Miyazaki JapanDepartment of Radiology University of Miyazaki Hospital Miyazaki JapanDepartment of Emergency and Critical Care Medicine University of Miyazaki Hospital Miyazaki JapanBackground Endovascular treatment is used for traumatic arterial injuries in the torso. However, the effectiveness of endovascular covered stent‐graft treatment for peripheral artery injury is unclear. We present a case of superficial femoral artery (SFA) injury successfully treated with a covered stent‐graft. Case Report A 68‐year‐old man presented with traumatic lower limb injury and shock. Computed tomography angiography revealed left subtrochanteric fracture and hematoma with extravasation. Digital subtraction angiography revealed extravasation from a left SFA branch, and a pseudoaneurysm at the SFA trunk. We coil embolized the SFA branch, and treated the pseudoaneurysm with a covered stent‐graft. Computed tomography carried out 22 days later showed complete pseudoaneurysm exclusion and sufficient stent patency. Conclusion We successfully used a covered stent‐graft to treat SFA injury due to blunt trauma. A covered stent‐graft could be effective for peripheral artery injury.https://doi.org/10.1002/ams2.639Blunt injuryendovascular treatmentfemoral arterystenttrauma
spellingShingle Takatoshi Koroki
Takuya Kuroki
Tomohiro Abe
Eiji Furukoji
Hidenobu Ochiai
Successful covered stent‐graft treatment of superficial femoral arterial injury due to blunt trauma
Acute Medicine & Surgery
Blunt injury
endovascular treatment
femoral artery
stent
trauma
title Successful covered stent‐graft treatment of superficial femoral arterial injury due to blunt trauma
title_full Successful covered stent‐graft treatment of superficial femoral arterial injury due to blunt trauma
title_fullStr Successful covered stent‐graft treatment of superficial femoral arterial injury due to blunt trauma
title_full_unstemmed Successful covered stent‐graft treatment of superficial femoral arterial injury due to blunt trauma
title_short Successful covered stent‐graft treatment of superficial femoral arterial injury due to blunt trauma
title_sort successful covered stent graft treatment of superficial femoral arterial injury due to blunt trauma
topic Blunt injury
endovascular treatment
femoral artery
stent
trauma
url https://doi.org/10.1002/ams2.639
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