Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492008000100010
Jornal Vascular Brasileiro
Case Report

Tratamento endovascular do trauma arterial dos membros

Endovascular management of extremity arterial trauma

Charles Angotti Furtado de Medeiros; Thais Cristina Hatsumura; Daniel Rassi Gusmão; Lucas Marcelo Dias Freire; Eduardo Faccini Rocha; Ana Terezinha Guillaumon

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Resumo

Geralmente o tratamento das lesões arteriais traumáticas é realizado com técnicas tradicionais de revascularização. Cada vez mais, porém, as lesões vasculares podem ser corrigidas com eficiência por meio de procedimentos minimamente invasivos. Nós descrevemos quatro casos de trauma arterial dos membros que foram tratados por técnicas endovasculares num centro de referência. Todos os pacientes evoluíram satisfatoriamente durante o seguimento de 15 meses. Nós sugerimos que o tratamento endovascular é uma alternativa promissora em relação à cirurgia para pacientes selecionados com trauma arterial dos membros.

Palavras-chave

Trauma vascular, pseudo-aneurisma, isquemia, tratamento de urgência

Abstract

Treatment of arterial traumatic injuries is usually performed with conventional revascularization techniques. However, vascular injuries can increasingly be repaired efficiently through minimally invasive procedures. We report four cases of extremity arterial trauma treated by endovascular techniques in a reference center. All patients showed satisfactory development over a 15-month follow-up. We suggest that endovascular therapy is a promising alternative to surgery for selected patients with extremity arterial trauma.

Keywords

Vascular trauma, pseudoaneurysm, ischemia, emergency treatment

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