Treatment of arterial traumatic injuries is usually performed with conventional revascularization techniques. However, vascular injuries can increasingly be repaired efficiently through minimally invasive procedures. We report four cases of extremity arterial trauma treated by endovascular techniques in a reference center. All patients showed satisfactory development over a 15-month follow-up. We suggest that endovascular therapy is a promising alternative to surgery for selected patients with extremity arterial trauma.715661Deguara, J., Ali, T., Modarai, B., Burnand, K.G., Upper limb ischemia: 20 years experience from a single center (2005) Vascular, 13, pp. 84-91Huynh, T.T., Pham, M., Griffin, L.W., Management of distal femoral and popliteal arterial injuries: An update (2006) Am J Surg, 192, pp. 773-778Peck, M.A., Rasmussen, T.E., Management of blunt peripheral arterial injury (2006) Perspect Vasc Surg Endovasc Ther, 18, pp. 159-173Vasdekis, S.N., Kakisis, J.D., Lazaris, A.M., Panayiotides, J.G., Angeli, A.A., Karkaletsis, K.G., Common femoral artery injury secondary to tennis ball strike (2006) J Vasc Surg, 44, pp. 1350-1352Starnes, B.W., Arthurs, Z.M., Endovascular management of vascular trauma (2006) Perspect Vasc Surg Endovasc Ther, 18, pp. 114-129Criado, E., Marston, W.A., Ligush, J., Mauro, M.A., Keagy, B.A., Endovascular repair of peripheral aneurysms, pseudoaneurysms and arteriovenous fistulas (1997) Ann Vasc Surg, 11, pp. 253-263du Toit, D.F., Strauss, D.C., Blaszczyk, M., de Villiers, R., Warren, B.L., Endovascular treatment of penetrating thoracic outlet arterial injuries (2000) Eur J Vasc Endovasc Surg, 19, pp. 489-495du Toit, D.F., Leith, J.G., Strauss, D.C., Blaszczyk, M., Odendaal, J.V., Warren, B.L., Endovascular management of traumatic cervicothoracic arteriovenous fistula (2003) Br J Surg, 90, pp. 1516-1521Kember, P.G., Wood, R.F., Gaines, P.A., Endovascular management of a non-penetrating traumatic axillary artery occlusion (1997) Eur J Vasc Endovasc Surg, 14, pp. 227-228Mattox KL, Hirshberg A. Traumatismo vascular. In: Haimovici H, editor. Cirurgia vascular. Rio de Janeiro: Di-Livros2000. p. 480-96Strauss, D.C., du Toit, D.F., Warren, B.L., Endovascular repair of occluded subclavian arteries following penetrating trauma (2001) J Endovasc Ther, 8, pp. 529-533Kuzniec, S., Traumatismos vasculares (2002) Cirurgia vascular, pp. 706-720. , Brito CJ, editor, Rio de Janeiro: Revinter;Aun, R., Leão, P.P., Tratamento dos ferimentos vasculares por métodos endovasculares (2002) Cirurgia vascular, pp. 721-727. , Brito CJ, editor, Rio de Janeiro: Revinter;Lönn, L., Delle, M., Karlström, L., Risberg, B., Should blunt arterial trauma to the extremities be treated with endovascular techniques? (2005) J Trauma, 59, pp. 1224-1227Alvarez-Tostado, J., Tulsyan, N., Butler, B., Rizzo, A., Endovascular management of acute critical ischemia secondary to blunt tibial artery injury (2006) J Vasc Surg, 44, pp. 1101-1103Johnson SF, Johnson SB, Strodel WE, Barker DE, Kearney PA. Brachial plexus injury: association with subclavian and axillary vascular trauma. J Trauma. 1991;31:1546-50. J Vasc Bras. 2008;7(1):62-
