Four-year outcomes following endovascular repair in patients with traumatic isolated popliteal artery injuries

ObjectiveThe effectiveness of endovascular treatment for popliteal arterial injury has not been well-documented. This study was aimed to investigate the midterm outcomes repair traumatic isolated injury.MethodsMedical records patients who underwent injuries from January 2012 February 2020 were reviewed retrospectively. Clinical data including patient demographics, Injury Severity Score, type injury, classification acute limb ischemia, concomitant extremity fracture, runoff vessel status, complications, time procedure, interval blood flow restoration, length hospital stay, reintervention, and follow-up collected analyzed.ResultsEndovascular performed in 46 with injuries. The mean Score 15.8 ± 6.2. overall salvage rate 89.1%. There 10 penetrating 36 blunt (78.3%). initial angiographic findings revealed occlusion 34 (73.9%), pseudoaneurysm 2 (4.4%), active extravasation 9 (19.5%), arteriovenous fistulas 1 (2.2%). Technical success achieved all patients, via antegrade access 24 (52.2%) concurrent retrograde 22 (47.8%). artery restoration 10.6 4.9 hours operative 54.9 10.0 minutes. 36.1 14.5 months. primary patency 75.3% at 12 months, 61.9% 55.7% 48 secondary 92.2% months 85.2% A Cox multivariate analysis that single an independent risk factor loss.ConclusionsEndovascular may be a safe effective alternative select acceptable outcomes. Single loss.