In the setting of progressive severe vessel narrowing or
pseudoaneurysm enlargement, stents have been deployed in
an effort to maintain vascular patency.11,32
A review of the Denver experience found a 17% incidence
of stent-related complications and 45% occlusion rate,
suggesting that risks exceed benefits.37
On the other hand, the Memphis group19
reported a good safety and patency record. It is clear
that controlled trials are needed, caution should be
used during stent deployment to avoid dislodging
unstable thrombus, and poststent antithrombotic therapy
is critical. It is not advisable to deploy stents within
the first several days after injury.