Abstract
The last two decades have seen a dramatic shift in the management of vascular disease from traditional open surgery to complex endovascular techniques. While this trend is quite well documented in the treatment of aneurysms of the abdominal and thoracic aorta, these changes have likewise taken place in management of vascular occlusive disease, and the technical aspects of these procedures can be applied to selected cases of vascular trauma. While endovascular management of blunt thoracic aortic injury has been increasingly reported with positive results, few data exist regarding safety and efficacy of endovascular management of injury to other vascular distributions. Selecting appropriate injuries for endovascular management is a particular challenge. There is a general perception that patients with acute arterial injuries – particularly hemodynamically unstable patients with ongoing hemorrhage – are inappropriate for endovascular management, despite the large volume of data showing improved outcomes in unstable patients with ruptured aortic aneurysms managed with a primary endovascular approach.
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Rossi, P.J., Southard, N.M. (2014). Endovascular Considerations in Vascular Trauma. In: Dua, A., Desai, S., Holcomb, J., Burgess, A., Freischlag, J. (eds) Clinical Review of Vascular Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39100-2_7
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DOI: https://doi.org/10.1007/978-3-642-39100-2_7
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