创伤性血管病变的腔内治疗

目的 探讨微创血管腔内技术治疗创伤性血管病变的可行性。方法 对已进行腔内治疗的6例创伤性血管病变进行回顾性分析。结果 6例创伤性血管病变包括颈总动脉假性动脉瘤、锁骨下动静脉瘘、胸主动脉假性动脉瘤、髂动静脉瘘、髂动脉假性动脉瘤、股浅动脉假性动脉瘤各1例。所有病变均在局部麻醉下进行，经腔内移植物治疗后均立刻重建血流通道。6例均得到随访，2个月至4年内所有移植物均通畅。无任何并发症。结论 腔内技术治疗创伤性血管病变具有成功率高、并发症少、损伤小等优点，可望成为创伤性血管病变的重要治疗手段。

Endovascular treatment for traumatic arterial lesions

Objective To discuss the feasibility of endovascular treatment for traumatic arterial lesions.MethodSix patients treated by endovascular stent grafts were retrospectively reviewed.Result Patients consisted of left common carotid artery pseudoaneurysm, right subclavian arteriovenous fistula,thoracic aortic pseudoaneurysm, righ iliac arteriovenous fistula,left iliac arterial pseudoaneursym and femoral arterial pseudoaneurysm. All of the patients abtained the blood flow reconstruction without any complications after endoluminal therapy under local anesthesia. No occlusion appeared during follow up.Conclusion The stent grafts appear to be associated with a low morbidity, high success rate, and less traumatic procedure. Endovascular management is an important tool for the treatment of vascular trauma.