Endovascular repair for peripheral arterial injuries

Background: Injuries to peripheral arteries occur in clinical practice. Traditional surgical repair requires extensive dissection, which are often associated with significant morbidity and mortality. Endovascular repair provides the advantages of efficiency, less invasiveness, and satisfactory patency. Methods: We retrospectively studied 15 patients with peripheral artery injuries between August 01, 2010 and Aug 31, 2013. Demographic data, mechanism of injury, concomitant injuries, angiographic findings, treatment method and outcome were recorded. Results: Each patient is successfully repaired with endovascular stent grafts. No conversion to open repair is needed. 14 patients were suffered from penetrating injuries (11 iatrogenic, and 3 traumatic, respectively), and 1 patient was suffered from traumatic blunting injury. 3 patients died all because of complications of primary diseases. The average follow-up patency is 9.33 months, but if excluding these 3 patients, the follow-up patency is 10.83 months in average (range:1-36). Conclusion: The endovascular stent graft repair for peripheral artery injuries is feasible, effective, less invasive alternative, and with satisfactory mid-term patency.