The use of stents in the treatment of traumatic intimal flaps: case report

Authors

  • Nelson Wolosker University of São Paulo; Faculty of Medicine; Hospital das Clínicas; Division of Vascular Surgery
  • Kenji Nishinari University of São Paulo; Faculty of Medicine; Hospital das Clínicas; Division of Vascular Surgery
  • Livio Nakano University of São Paulo; Faculty of Medicine; Hospital das Clínicas; Division of Vascular Surgery
  • Alexandre Maieira Anacleto University of São Paulo; Faculty of Medicine; Hospital das Clínicas; Division of Vascular Surgery
  • Pedro Puech-Leão University of São Paulo; Faculty of Medicine; Hospital das Clínicas; Division of Vascular Surgery

DOI:

https://doi.org/10.1590/S0041-87812001000400005

Keywords:

Stents, Femoral artery injuries, Vascular trauma, Minimally invasive techniques, Palmaz stent

Abstract

Treatment of arterial traumatic intimal lesions is controversial due to its unknown natural history. Current therapeutical options include arterial reconstruction and clinical observation. The idea of using stents to correct intimal flaps is based on their use to correct dissections, flaps, and arterial irregularities after angioplasty. We report the successful treatment of a traumatic intimal flap of the superficial femoral artery, caused by gunshot trauma, with a Palmaz stent in the acute period. One year after the operation, a duplex scan revealed normal flow in the artery and complete exclusion of the intimal flap; distal pulses were palpable, and the patient was completely asymptomatic.

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Published

2001-08-01

Issue

Vol. 56 No. 4 (2001)

Section

Case Reports

How to Cite

Wolosker, N., Nishinari, K., Nakano, L., Anacleto, A. M., & Puech-Leão, P. (2001). The use of stents in the treatment of traumatic intimal flaps: case report . Revista Do Hospital Das Clínicas, 56(4), 119-122. https://doi.org/10.1590/S0041-87812001000400005