Akademik Veri Yönetim Sistemi
Genel Tip Dergisi, cilt.35, sa.5, ss.943-953, 2025 (Scopus, TRDizin)
Aim: Purpose of this study is to report our experience with stent-graft applications in iatrogenic and traumatic vascular injuries. Methods: We report endovascular treatment of 65 patients (45 men, 20 women; age range 17-91 years-old, mean 60 ± 19 years), 65 iatrogenic and traumatic vascular lesions with stent-grafts. The localisations of the vascular lesions are as follows: 43 lower extremity, eight upper extremity, seven supra aortic, seven visceral. Early Doppler ultrasound imaging was performed before patient discharge. Results: Immediate technical success was achieved in 59 lesions (91%). In the remaining six lesions pathology continued and these cases were treated with accompanying embolisation (four with glue embolisation, one with vascular plug, one with concomitant stent-graft). Complications such as deformation or migration were not observed in any case. Follow-up was available for 53 lesions (mean follow-up 13 months, range 4-19 months). During the follow-up period, 13 cases of in-stent restenosis were observed. Seven cases of incomplete restenosis and two stent-graft occlusions were treated with balloon angioplasty, while one stent-graft occlusion was managed with the placement of an additional stent-graft. Three cases of in-stent restenosis were left untreated due to the absence of significant clinical symptoms. The primary patency rate was 76%, the primary assisted patency rate was 88%, and the secondary patency rate was 94%. Conclusions: Endovascular treatment of iatrogenic and traumatic vascular lesions with stentgrafts is a safe, effective and less invasive procedure.