Emergency Endovascular Treatment of a Traumatic Sub-Diaphragmatic Abdominal Aorta Rupture Caused by a Firearm

García-Gimeno, M.; Tagarro-Villalba, S.; González-Arranz, M.A.; García, D. López; González-González, E.; Rodríguez-Camarero, S.J.

doi:10.1016/j.ejvsextra.2009.03.002

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…27 Medical management, consisting of blood pressure control and aspirin, has been effective in intimal flaps that are <10 mm in size, 27 whereas open or endovascular repair is often pursued for large intimal flaps, pseudoaneurysms, or frank rupture. 27,29,31,32 Penetrating trauma can present as acute hemorrage, 33 delayed hemorrhage, 34 or as a delayed psuedoaneurysm. 35 The instructions for use (IFU) of most commercially available stent grafts do not include patients with abdominal aortic lesions secondary to trauma.…”

Section: Abdominal Aortamentioning

confidence: 99%

“…Endovascular aneurysm repairs, including the Excluder (W. L. Gore & Associates), 27 Zenith (Cook Medical), 27 Endologix (Endologix, Irvine, California), 40 and AneuRx (Medtronic) 27,35 have all been reported (Table 1). Cuffs made by Gore, 27 Cook, 41 and Medtronic 33 have also been used. Large covered stents, such as the Fluency (Bard, Murray Hill, New Jersey) 42 and Corvita (Corvita Corporation, Miami, Florida), 34 and iliac limbs, such as the Cook iliac limb (Cook Medical), 43 have also been used for some patients.…”

Section: Abdominal Aortamentioning

confidence: 99%

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Endovascular Therapy of Vascular Trauma—Current Options and Review of the Literature

Glaser

Kalapatapu

2019

Vasc Endovascular Surg

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Objective: To review the current use of endovascular techniques in trauma. Summary Background Data: Multiple studies have demonstrated that, despite current guidelines, endovascular therapies are used in instances of arterial trauma. Methods: The existing literature concerning arterial trauma was reviewed. Studies reviewed included case reports, single-center case series, large database studies, official industry publications and instructions for use, and society guidelines. Results: Endovascular therapies are used in arterial trauma in all systems. The use of thoracic endografts in blunt thoracic aortic trauma is accepted and endorsed by society guidelines. The use of endovascular therapies in other anatomic locations is largely limited to single-center studies. Advantages potentially include less morbidity due to smaller incisions as well as shorter operating room times. Many report using endovascular therapies even with hard signs of injury. Long-term results are limited by a lack of long-term follow-up but, in general, suggest that these techniques produce acceptable outcomes. The adoption of these techniques may be limited by resource and surgeon availability. Conclusions: The use of endovascular therapies in trauma has gained acceptance despite not yet having a place in official guidelines.

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