caa a22 4500 475842596 CHVBK 20180406123905.0 cr unu---uuuuu 170329e20001001xx s 000 0 eng 10.1007/PL00011841 doi (NATIONALLICENCE)springer-10.1007/PL00011841 Interventional management of infrapopliteal arterial injury [Elektronische Daten] [R. J. Amin, R. G. Fisher, C. J. Whigham, J. I. Lindsey, G. D. Soltes] Purpose: Recent advances in angiographic and occlusive techniques have given the interventional radiologist a significant role in the management of below-the-knee arterial trauma. We wish to present our experience involving nine patients with ten infrapopliteal arterial injuries successfully managed with interventional embolotherapy. Methods and materials: Nine male patients with a mean age of 29.4 years (range 17-63 years) presented to our interventional department for evaluation of injury to the lower extremity. Mechanisms of injury were penetrating trauma, shotgun blast, or auto-pedestrian injury. Digital subtraction or cut-film angiography of the lower extremity was performed using standard Seldinger technique via the common femoral artery approach. Injuries managed were arteriovenous fistulas (30 %), transection (40 %), and pseudoaneurysm (30 %) involving the posterior tibial (20 %) and/or peroneal (80 %) arteries. Agents used included Gelfoam, Gianturco coils, and/or vasopressin. Patients were followed until discharge and as outpatients when possible. Results: All patients were successfully managed in regard to their acute injuries. Hemostasis was achieved, and surgical exploration was avoided. There were no procedure-related complications, and limb salvage rate was 100 %. Conclusion: Our experience demonstrates that current angiographic and embolotherapy techniques enable the interventionalist to successfully treat acute infrapopliteal arterial injury. American Society of Emergency Radiology, 2000 Key words Angiography - Embolization - Lower extremity - Arteries, injuries nationallicence Amin R. J. Department of Radiology, Baylor College of Medicine, One Baylor Plaza - BCMC 165B, Houston, TX 77030-3498, USA Tel.: + 1-7 13-7 93 24 22, Fax: + 1-7 13-7 98 80 50, US aut Fisher R. G. Department of Radiology, Baylor College of Medicine, One Baylor Plaza - BCMC 165B, Houston, TX 77030-3498, USA Tel.: + 1-7 13-7 93 24 22, Fax: + 1-7 13-7 98 80 50, US aut Whigham C. J. Department of Radiology, Baylor College of Medicine, One Baylor Plaza - BCMC 165B, Houston, TX 77030-3498, USA Tel.: + 1-7 13-7 93 24 22, Fax: + 1-7 13-7 98 80 50, US aut Lindsey J. I. Department of Radiology, Baylor College of Medicine, One Baylor Plaza - BCMC 165B, Houston, TX 77030-3498, USA Tel.: + 1-7 13-7 93 24 22, Fax: + 1-7 13-7 98 80 50, US aut Soltes G. D. Department of Radiology, Baylor College of Medicine, One Baylor Plaza - BCMC 165B, Houston, TX 77030-3498, USA Tel.: + 1-7 13-7 93 24 22, Fax: + 1-7 13-7 98 80 50, US aut https://doi.org/10.1007/PL00011841 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/PL00011841 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Amin R. J. Department of Radiology, Baylor College of Medicine, One Baylor Plaza - BCMC 165B, Houston, TX 77030-3498, USA Tel.: + 1-7 13-7 93 24 22, Fax: + 1-7 13-7 98 80 50, US aut NATIONALLICENCE 700 1- Fisher R. G. Department of Radiology, Baylor College of Medicine, One Baylor Plaza - BCMC 165B, Houston, TX 77030-3498, USA Tel.: + 1-7 13-7 93 24 22, Fax: + 1-7 13-7 98 80 50, US aut NATIONALLICENCE 700 1- Whigham C. J. Department of Radiology, Baylor College of Medicine, One Baylor Plaza - BCMC 165B, Houston, TX 77030-3498, USA Tel.: + 1-7 13-7 93 24 22, Fax: + 1-7 13-7 98 80 50, US aut NATIONALLICENCE 700 1- Lindsey J. I. Department of Radiology, Baylor College of Medicine, One Baylor Plaza - BCMC 165B, Houston, TX 77030-3498, USA Tel.: + 1-7 13-7 93 24 22, Fax: + 1-7 13-7 98 80 50, US aut NATIONALLICENCE 700 1- Soltes G. D. Department of Radiology, Baylor College of Medicine, One Baylor Plaza - BCMC 165B, Houston, TX 77030-3498, USA Tel.: + 1-7 13-7 93 24 22, Fax: + 1-7 13-7 98 80 50, US aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer