Chen Z, Shi J, Sun H, Zhang XQ. Clinical evaluation of bare metal stent-assisted endovascular repair in upper extremity arterial trauma. World J Cardiol 2025; 17(12): 107338 [DOI: 10.4330/wjc.v17.i12.107338]
Corresponding Author of This Article
Xi-Quan Zhang, MD, Department of Interventional Vascular Surgery, Zibo 148 Hospital, No. 20 of Zhanbei Road, Zhoucun District, Zibo 200331, Shandong Province, China. 2686890217@qq.com
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Cardiac & Cardiovascular Systems
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Case Control Study
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Dec 26, 2025 (publication date) through Dec 24, 2025
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Publication Name
World Journal of Cardiology
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1949-8462
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Chen Z, Shi J, Sun H, Zhang XQ. Clinical evaluation of bare metal stent-assisted endovascular repair in upper extremity arterial trauma. World J Cardiol 2025; 17(12): 107338 [DOI: 10.4330/wjc.v17.i12.107338]
World J Cardiol. Dec 26, 2025; 17(12): 107338 Published online Dec 26, 2025. doi: 10.4330/wjc.v17.i12.107338
Clinical evaluation of bare metal stent-assisted endovascular repair in upper extremity arterial trauma
Zhong Chen, Jin Shi, Hao Sun, Xi-Quan Zhang
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
Author contributions: Chen Z contributed to conceptualization and methodology; Shi J contributed to writing and original draft preparation; Chen Z and Shi J contributed to data curation; Sun H contributed to visualization and investigation; Zhang XQ contributed to writing, reviewing and editing.
Supported by Zibo Health Commission, No. 20230412060.
Institutional review board statement: Ethics approval for this study was obtained from Ethics Committee at Zibo 148 Hospital (approval number: ZB148H-LL-LC-20240101). This study was conducted in compliance with the Declaration of Helsinki and all applicable ethical guidelines.
Informed consent statement: Not applicable.
Conflict-of-interest statement: All authors declare that there are no conflict of interests.
STROBE statement: The authors have read the STROBE Statement – checklist of items, and the manuscript was prepared and revised according to the STROBE Statement – checklist of items.
Data sharing statement: The study did not generate any new data to share.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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. 2686890217@qq.com
Received: March 21, 2025 Revised: May 23, 2025 Accepted: November 11, 2025 Published online: December 26, 2025 Processing time: 278 Days and 21.5 Hours
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 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.
Core Tip: This study evaluates the clinical outcomes of bare metal stent (BMS)-assisted endovascular repair for upper extremity arterial trauma, demonstrating that BMS significantly enhances limb function recovery and graft patency compared to non-BMS treatments. The refined “end-to-end anastomosis” technique with strategic stent overlapping reduces stent thrombosis incidence, achieving a superior long-term patency rate of 100% in BMS-treated patients. Our findings highlight the value of BMS in improving patient prognosis and quality of life following upper limb arterial injuries.
