naa a22 4500 510747140 CHVBK 20180411083050.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s11547-012-0826-6 doi (NATIONALLICENCE)springer-10.1007/s11547-012-0826-6 Emergency stent-graft implantation for iatrogenic peripheral arterial rupture [Elektronische Daten] [L. Xiao, J. Shen, J. Tong] Posizionamento di endoprotesi in emergenza per il trattamento della rottura iatrogena delle arterie periferiche Purpose: We evaluated the experience with and efficacy of stent-grafting for iatrogenic peripheral arterial ruptures. Materials and methods: From 2005 to 2009 we performed stent-grafting on four male patients (age 38-67 years) with iatrogenic peripheral arterial ruptures. In patient 1, grointissue necrosis followed a subcutaneous injection and led to femoral arterial rupture. Pseudoaneurysms ruptured in patients 2 and 3 who were undergoing femoral arteriotomy. Patient 1 experienced a ruptured carotid artery during neck surgery. Shock occurred in three of the four patients. Four patients underwent self-expanding stent-grafting (8 mm×60 mm or 8 mm×80 mm) under local anaesthesia. Results: Haemorrhages were controlled in all patients. No procedure-related complications occurred. Patient 1 died of lung metastases 13 months after stent-grafting. Follow-up examinations showed that the stent-graft remained patent in patients 1, 2 and 4, whereas stent occlusion occurred after 15 months in patient 3; in this case, a pseudoaneurysm proximal to the stent was identified, and although repeat stent-grafting successfully stopped the bleeding, the patient died of multiple organ failure 1 week later. Conclusions: Emergency stent-grafting is a technically feasible and therapeutically effective modality for treating high-risk patients who experience iatrogenic peripheral arterial ruptures. The efficient treatment of hypotension and early endovascular intervention will improve the prognosis. Springer-Verlag Italia, 2012 Peripheral vascular disease nationallicence Complication nationallicence Endoluminal repair nationallicence Stent-graft nationallicence Arteriopatia periferica nationallicence Complicazioni nationallicence Endoprotesi nationallicence Xiao L. Department of Radiology, the First Hospital of China Medical University, 155 Nanjing North Road, 110001, Shenyang, Liaoning, P.R. China aut Shen J. Department of Radiology, the First Hospital of China Medical University, 155 Nanjing North Road, 110001, Shenyang, Liaoning, P.R. China aut Tong J. Department of Radiology, the First Hospital of China Medical University, 155 Nanjing North Road, 110001, Shenyang, Liaoning, P.R. China aut La radiologia medica Springer Milan 118/1(2013-02-01), 152-157 0033-8362 118:1<152 2013 118 11547 https://doi.org/10.1007/s11547-012-0826-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11547-012-0826-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Xiao L. Department of Radiology, the First Hospital of China Medical University, 155 Nanjing North Road, 110001, Shenyang, Liaoning, P.R. China aut NATIONALLICENCE 700 1- Shen J. Department of Radiology, the First Hospital of China Medical University, 155 Nanjing North Road, 110001, Shenyang, Liaoning, P.R. China aut NATIONALLICENCE 700 1- Tong J. Department of Radiology, the First Hospital of China Medical University, 155 Nanjing North Road, 110001, Shenyang, Liaoning, P.R. China aut NATIONALLICENCE 773 0- La radiologia medica Springer Milan 118/1(2013-02-01), 152-157 0033-8362 118:1<152 2013 118 11547 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer