Angiographic embolisation in arterial trauma

Abstract

Objectives: to evaluate the use of endovascular occlusion in the treatment of arterial trauma. Methods: records of patients with penetrating arterial injuries treated by endovascular occlusive techniques were culled from the computerised database of the vascular service. Results: the study period spanned 7 years. Forty-two patients were studied with injuries to the cervicofacial vessels (24), lower limb (16) and upper limb (1). 13 had an arteriovenous fistula. There were 4 failures. In 2 cannulation was not achieved and in 2 with A-VF distal vessel occlusion was impossible. Two patients developed complications. In the remainder, treatment was effective and durable. Conclusion: this treatment modality is effective and safe in the treatment of penetrating trauma in selected patients.