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Revista do Hospital das Clínicas

On-line version ISSN 1678-9903


WOLOSKER, Nelson et al. The use of stents in the treatment of traumatic intimal flaps: case report. Rev. Hosp. Clin. [online]. 2001, vol.56, n.4, pp.119-122. ISSN 1678-9903.

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.

Keywords : Stents; Femoral artery injuries; Vascular trauma; Minimally invasive techniques; Palmaz stent.

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