-1.png)
Vaskulárna medicína 1/2025
Surgical treatment of complications after endovascular procedures
Introduction: Endovascular treatment has become an important method in the treatment of various vascular diseases, such as aneurysms, stenoses and also vessel occlusions. Although much less invasive than traditional surgical approaches, endovascular treatment also carries certain risks and potential complications. This article focuses on the most common complications associated with endovascular procedures and the methods of their management at the Clinic of Vascular Surgery VUSCH a.s.
Patients and methods: Between 2021 and 2023 inclusive, 4,850 angiological and 16,597 cardiology endovascular procedures were performed at the East Slovak Institute of Cardiovascular Diseases. In our work, we monitored the occurrence of complications of these procedures and their subsequent surgical management. In the thesis, we also point out the risk factors of complications of endovascular treatment in patients with vascular disease.
Results: Vascular surgical revisions had to be performed in 212 cases, which represents an incidence of cardiology complications of 0.03% and an incidence of angiological complications of 0.4%. The most common complication was pseudoaneurysm at the site of endovascular access. In our group of patients, we also noted the occurrence of retroperitoneal hematoma, the development of acute limb ischemia, the formation of arteriovenous fistula, dissection and, of course, mechanical damage to the artery wall. Conclusion: Endovascular treatment provides significant advances in medicine, but it is also associated with various potential complications. Early recognition and proper management of these complications are key to minimizing risks and improving the results of vascular disease treatment. Collaboration between interventional radiologists, vascular surgeons, angiologists, and other healthcare professionals is essential for the successful treatment and care of patients undergoing endovascular procedures.
Keywords: endovascular complications, pseudoaneurysm, iatrogenic vessel damage
