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Endovascular Repair of Penetrating Arterial Injury by Fernando L. Joglar; Pablo Rodriguez Ortiz; Lourdes Guerrios; Antonio Arrieta; Gabriel Castro; Natalia Roa; Ediel Ramos Melendez is a Medicine article available to read on EtoBox.
What is Endovascular Repair of Penetrating Arterial Injury about?
was achieved in all patients. Within three months follow-up, post-treatment serum creatinine decreased by 1.06 mg/dL (95% confidence interval [CI], À1.63 to À0.48 mg/dL; P < .001) and post-treatment systolic and diastolic blood pressure decreased by 15.03 mm Hg (95% CI, À21.60 to À8.46 mm Hg; P < .001) and 5.94 mm Hg (95% CI, À8.90 to À2.97 mm Hg; P < .001), respectively (Fig 1). IVUS identified eight patients with TRAS who were not detected by performing vessel measurements of transplant artery angiograms. Conclusions: Optimal imaging of TRAS was achieved using IVUS (Fig 2), resulting in the identification and treatment of patients that would have been misdiagnosed using DSA alone. Endovascular treatment of TRAS detected by IVUS provides objectively improved renal function and decreased blood pressure in early follow-up. Our findings warrant larger studies with longer follow-up to determine durability of the interventions, and further optimize the management of such patients.
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- Author
- Fernando L. Joglar; Pablo Rodriguez Ortiz; Lourdes Guerrios; Antonio Arrieta; Gabriel Castro; Natalia Roa; Ediel Ramos Melendez
- Publisher
- Elsevier BV
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)