Indications for, Timing of, and Results of Catheter-Based Treatment of  Traumatic Injury to the Aorta

Fattori, Rossella; Napoli, Gabriella; Lovato, Luigi; Russo, Vincenzo; Pacini, Davide; Pierangeli, A; Gavelli, Giampaolo

doi:10.2214/ajr.179.3.1790603

Cited by 82 publications

(71 citation statements)

References 33 publications

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“…Furthermore, small diameters of access vessels and steep angulation of the aortic arch ("gothic arch"), especially in young patients, make TEVAR in patients with acute aortic transections frequently a technically challenging procedure. Technical success rates thus vary from 80% to 100% and are in line with our results [7,20,21].…”

Section: Discussionsupporting

confidence: 90%

Open versus endovascular repair of acute aortic transections—a non-randomized single-center analysis

Geisbüsch

Leszczynsky

Kotelis

et al. 2009

Langenbecks Arch Surg

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Section: Discussionsupporting

confidence: 90%

Open versus endovascular repair of acute aortic transections—a non-randomized single-center analysis

Geisbüsch

Leszczynsky

Kotelis

et al. 2009

Langenbecks Arch Surg

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“…However, the anchoring zone can be extended by placing the uncovered or covered portion of the stent-graft across the origin of the left subclavian artery. Crossing the origin of the subclavian artery with the covered portion of the stent-graft in patients with acute thoracic rupture has been described by several authors [14,20,33,[35][36][37]. None of them, except Orend et al have reported left upper arm ischaemia necessitating subclavian carotid artery transposition [38].…”

Section: Discussionmentioning

confidence: 99%

“…Recent reports have shown that emergency repair of thoracic aortic disease with endovascular stent-grafts is a safe, effective and less invasive treatment option with technical success rates ranging from 90 to 100% and encouraging short-and mid-term results (Table 1) [5,[11][12][13][14][15][16][17][18][19][20][21][22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Placement of endovascular stent-grafts for emergency repair of acute traumatic aortic rupture: a single-centre experience

et al. 2006

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The aim of this retrospective study was to evaluate mid- and long-term results of endovascular stent-graft placement for emergency repair of acute traumatic thoracic aortic rupture. From 1996 through 2005, 22 consecutive patients (mean age: 38.7 years) underwent endovascular repair of acute traumatic thoracic aortic rupture located at the aortic isthmus in most cases. All patients were at high surgical risk due to severe associated injuries. The endografts were inserted via femoral or iliac artery access under fluoroscopic guidance. Follow-up was performed postinterventionally, at 6 and 12 months and yearly thereafter, and included clinical examination and computed tomography (CT) scans. Technical and clinical success rates were 86.3%. Mean follow-up was 31.7 months. Three patients developed early type I endoleak due to the inability of the rigid graft to adapt to the curved aortic contour. In two of them conversion to open surgery was necessary. One patient had late type I endoleak and died. No other complications were observed. The outcome was successful in most patients. The mid- and long-term results of our current study are promising. However, early type I endoleak represents a problem, especially in adolescent patients with a marked curvature of the aortic arch.

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“…TEVAR is less invasive than conventional surgery. At present, TEVAR is an effective treatment option for treating patients with blunt thoracic aortic injuries (17,18). Because most injuries affect the aortic isthmus and because patients with traumatic thoracic aortic injuries have adequate proximal and distal landing zones, exclusion of an aortic tear with a stent can be performed rather easily.…”

Section: Discussionmentioning

confidence: 99%

Experience of endovascular repair of thoracic aortic dissection after blunt trauma injury in a district general hospital

2016

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Background: Traumatic thoracic aortic dissection is uncommon in clinical practice; however, it is associated with high morbidity and mortality. Thoracic aortic dissection is usually caused by sudden deceleration resulting from a traffic accident or fall. Aortic injury after blunt trauma is a critical condition.This study reported the outcomes of endovascular repair of acute traumatic aortic dissection in patients at a district general hospital. Methods:In this study, we retrospectively reviewed the clinical data of eight patients with acute traumatic aortic dissection after a blunt trauma who had undergone thoracic endovascular aortic repair (TEVAR) between January 2012 and December 2015 at a district general hospital in Taiwan.Results: The median age of the patients was 49±22 years (range, 20-77 years), and 6 of the 8 (75%) patients were men. Five patients were involved in traffic accidents, and 3 patients had fallen from heights.The injury severity score (ISS) of the patients ranged from 17 to 66. In all patients, the aortic injury was located near the origin of the left subclavian artery (LSA). Four patients had seal ostium of subclavian artery, left. None of the patients developed paraplegia or lower extremity ischemia. Moreover, all patients had concomitant injuries, and no patients died postoperatively.Conclusions: Endovascular repair is a rapid and minimally invasive therapy for patients with traumatic aortic injury and is associated with favorable technical results.

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Indications for, Timing of, and Results of Catheter-Based Treatment of Traumatic Injury to the Aorta

Cited by 82 publications

References 33 publications

Open versus endovascular repair of acute aortic transections—a non-randomized single-center analysis

Open versus endovascular repair of acute aortic transections—a non-randomized single-center analysis

Placement of endovascular stent-grafts for emergency repair of acute traumatic aortic rupture: a single-centre experience

Experience of endovascular repair of thoracic aortic dissection after blunt trauma injury in a district general hospital

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