Stent Graft Placement for Injured Visceral Artery

被引：1

作者：

Miyayama, Shiro ^{[1
]}

Yamashiro, Masashi ^{[1
]}

Ikeda, Rie ^{[1
]}

Yokka, Akira ^{[1
]}

Komiya, Hideaki ^{[1
]}

Sakuragawa, Naoko ^{[1
]}

Terada, Takuro ^{[2
]}

Yamamoto, Hidekazu ^{[3
]}

机构：

[1] Fukui Ken Saiseikai Hosp, Dept Diagnost Radiol, Fukui, Japan

[2] Fukui Ken Saiseikai Hosp, Dept Hepatobiliary Pancreat Surg, Fukui, Japan

[3] Fukui Ken Saiseikai Hosp, Dept Urol, Fukui, Japan

来源：

INTERVENTIONAL RADIOLOGY | 2023年 / 8卷 / 03期

关键词：

stent graft; visceral artery; active bleeding; pseudoaneurysm;

D O I：

10.22575/interventionalradiology.2023-0005

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Injury of the visceral artery is a potentially fatal complication of iatrogenic procedures, trauma, and tumors. A stent graft can achieve rapid exclusion of the injured arterial portion and minimize the risk of ischemic complications by preserving arterial flow to organs. Although various types of stent grafts are available worldwide, Viabahn has only been approved for visceral arterial injury in Japan. The reported technical and clinical success rates, including cases with injured pelvic or thoracic arterial branches, are 80%-100% and 66.7%-100%, respectively. Severe ischemic complications are rare; however, fatal ischemia occurs when the stent graft is immediately occluded. The necessity of antiplatelet therapy is controversial, and a target artery diameter <= 4 mm is a significantly higher risk factor of stentgraft occlusion.

引用

页码：173 / 183

页数：11

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