Clinical evaluation of bare metal stent-assisted endovascular repair in upper extremity arterial trauma

Sep 28, 2026

Limb arterial trauma is a frequent but clinically difficult condition in trauma surgery emergencies, requiring early accurate diagnosis and effective repair to support survival and functional recovery. This case-control study retrospectively analyzed 79 patients treated between 2014 and 2023, evaluating outcomes and complications over at least 36 months after surgery. Results assessed technical reconstruction using bare metal stents, focusing on graft patency, limb function recovery, and stent thrombosis.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages7

Reading Time18 min

AccessFree to download

Abstract

Background

Aim

Methods

Results

Conclusion

Introduction

Core Tip

Citation

| W | J | C | World Journal of
Cardiology | | --- | --- | --- | --- | Submit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Cardiol 2025 December 26; 17(12): 107338 DOI: 10.4330/wjc.v17.i12.107338 ISSN 1949-8462 (online) ORIGINAL ARTICLE Case Control Study Clinical evaluation of bare metal stent-assisted endovascular repair in upper extremity arterial trauma Zhong Chen, Jin Shi, Hao Sun, Xi-Quan Zhang Specialty type: Cardiac and cardiovascular systems Provenance and peer review: Unsolicited article; Externally peer reviewed. Peer-review model: Single blind Peer-review report’s classification Scientific Quality: Grade B, Grade D Novelty: Grade B, Grade D Creativity or Innovation: Grade B, Grade C Scientific Significance: Grade B, Grade D P-Reviewer: Joseph BC, PhD, Senior Scientist, United States; Qiu WS, MD, PhD, Associate Chief Physician, Associate Research Scientist, Professor, China Received: March 21, 2025 Revised: May 23, 2025 Accepted: November 11, 2025 Published online: December 26, 2025 Processing time: 278 Days and 22.5 Hours Zhong Chen, Xi-Quan Zhang, Department of Interventional Vascular Surgery, Zibo 148 Hospital, Zibo 200331, Shandong Province, China Jin Shi, Department of General Surgery, Zibo 148 Hospital, Zibo 200331, Shandong Province, China Hao Sun, Department of Urology, Zibo 148 Hospital, Zibo 200331, Shandong Province, China Corresponding author: Xi-Quan Zhang, MD, Department of Interventional Vascular Surgery, Zibo 148 Hospital, No. 20 of Zhanbei Road, Zhoucun District, Zibo 200331, Shandong Province, [China.](China. 2686890217@qq.com)[ 2686890217@qq.com](China. 2686890217@qq.com) Abstract BACKGROUND Limb arterial trauma is a common yet clinically challenging condition often encountered in trauma surgery emergencies. Early accurate diagnosis and effective repair are crucial for patient survival and functional recovery. AIM To report a brand new technique to promote the recovery of limb arterial trauma. METHODS This study retrospectively analyzed data from patients treated for limb arterial trauma at our hospital between 2014 and 2023. A total of 79 patients met the inclusion criteria, including 56 males and 23 females, with an average age of 45 years. All patients underwent surgical repair methods like bare metal support arterial reconstruction. Follow-up evaluations were conducted for at least 36 months postoperatively, documenting surgical outcomes and complications. RESULTS Building upon the "end-to-end anastomosis" technique, establishing a "working track" for the two severed ends of the vessel provides crucial technical support for subsequent intravascular stent alignment. Simultaneously, the implantation of bare metal stents (BMS) not only enhances the strength of the connection between severed arteries but also reduces the stent lumen's effective diameter by overlapping, thereby minimizing opportunities for intra-stent blood flow attachment and lowering stent thrombosis formation. This approach maximizes the preservation of arterial supply to organs and essential vascular branches, utilizing WJC [https://www.wjgnet.com](https://www.wjgnet.com) 1 December 26, 2025 Volume 17 Issue 12 Chen Z et al. Bare metal stent for arterial trauma intravascular intervention techniques to restore the original anatomical stat. The study revealed that patients with BMS graft achieved more successful limb function recovery postoperatively, compared with patients receiving another surgery. CONCLUSION Bare metal stent support arterial reconstruction could significantly improve upper limb arterial trauma to improve patient quality of life. Key Words: Limb arterial trauma; Bare metal stent; Surgical methods; Clinical study ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved. Core Tip: This study evaluates the clinical outcomes of bare metal stent (BMS)-assisted end

FAQs

What clinical problem does the study address?

It addresses limb arterial trauma, a common but challenging condition that requires early diagnosis and effective repair to improve survival and functional recovery.

How was the study designed and what was the patient cohort?

The study retrospectively analyzed data from patients treated for limb arterial trauma at the hospital between 2014 and 2023, including 79 patients with follow-up of at least 36 months.

What is the key treatment approach evaluated?

The approach uses bare metal stent (BMS)-assisted endovascular repair built on end-to-end anastomosis, with stent overlapping intended to enhance connection strength and reduce stent thrombosis formation.

Sep 28, 2026

Uploaded by Quinn Holloway