Percutaneous Balloon-Expandable Covered Stent Implantation for Treatment of Traumatic Aortic Injury in Children and Adolescents

Goldstein, Bryan H.; Hirsch, Russel; Zussman, Matthew; Vincent, Julie A.; Torres, Alejandro; Coulson, John D.; Ringel, Richard; Beekman, Robert H.

doi:10.1016/j.amjcard.2012.06.063

Cited by 45 publications

(31 citation statements)

References 24 publications

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“…The median age of the trial participants was 13.5 years, with a range of 11 to 14 years. 1 Long-term results are required to confirm the safety and efficacy of this treatment approach.…”

Section: Discussionmentioning

confidence: 99%

“…There is not currently a large diameter, balloon-expandable, covered endovascular stent approved by the Food and Drug Administration for use in the United States; however, the NuMED Covered CP Stent (NuMED, Inc, Hopkinton, NY), a covered Cheatham platinum balloon-expandable stent, is available to centers participating in the Coarctation of the Aorta Stent Trial and the Pulmonary Artery Repair With Covered Stents trial. 1,8,9 Our case report discusses the youngest patient reported to have undergone successful covered stent implantation for aortic pseudoaneurysm.…”

mentioning

confidence: 93%

“…1–4 In adults, this type of injury is frequently treated percutaneously with self-expanding endograft placement. 1,5–7 This approach has multiple technical limitations in pediatric patients, specifically the large entry profile of endografts and the inability to adjust the graft diameter with patient somatic growth. 2–4 Balloon-expandable covered stents offer a treatment alternative better suited to pediatric patients.…”

mentioning

confidence: 99%

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Balloon-expandable covered stent implantation for treatment of traumatic aortic pseudoaneurysm in a pediatric patient

Heal

Chowdhury

Bandisode

2016

The Journal of Thoracic and Cardiovascular Surgery

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“…The median age of the trial participants was 13.5 years, with a range of 11 to 14 years. 1 Long-term results are required to confirm the safety and efficacy of this treatment approach.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 93%

mentioning

confidence: 99%

See 1 more Smart Citation

Balloon-expandable covered stent implantation for treatment of traumatic aortic pseudoaneurysm in a pediatric patient

Heal

Chowdhury

Bandisode

2016

The Journal of Thoracic and Cardiovascular Surgery

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“…On the other hand, younger or fit patients with aortic anatomy unsuitable for TEVAR should consider undergoing open repair (27, 29). To date, it has been accepted that endovascular repair does not have a role in children and teenagers (38). The mismatch between vessel diameter and available stent sizes; the smaller arteries for access and the necessity for surgical exposure of the iliac artery; and finally, the fact that vessels of young individuals will outgrow the placed stents are some of the problems of endovascular repair in children and teenagers.…”

Section: Considerations Of Tevar In Isthmic Injuriesmentioning

confidence: 99%

“…The mismatch between vessel diameter and available stent sizes; the smaller arteries for access and the necessity for surgical exposure of the iliac artery; and finally, the fact that vessels of young individuals will outgrow the placed stents are some of the problems of endovascular repair in children and teenagers. These difficulties may lead vascular surgeons to think twice before proceeding to endovascular repair of isthmic ruptures in such young patients, but successful aortic repair with balloon-expandable stents has already been reported (38). …”

Section: Considerations Of Tevar In Isthmic Injuriesmentioning

confidence: 99%

Endovascular Repair of Traumatic Isthmic Ruptures: Special Concerns

2017

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Injury of the aortic isthmus is the second most frequent cause of death in cases of blunt traumatic injury. Conventional open repair is related to significant morbidity and mortality. Thoracic endovascular aortic repair (TEVAR) has increasing role in traumatic isthmic rupture, as it avoids the thoracotomy-related morbidity, aortic cross clamping, and cardiopulmonary bypass. Additionally to the technical difficulties of open repair, multi-trauma patients may not tolerate the manipulations necessary to undergo open surgery, due to concomitant injuries. TEVAR is a procedure easier to perform compared to open surgery, despite that a considerable degree of expertise is necessary. Direct comparison of the two methods is difficult, but TEVAR appears to offer better results than open repair in terms of mortality, incidence of spinal cord ischemia, renal insufficiency, and graft infection. TEVAR is related to a—statistically not significant—trend for higher re-intervention rates during the follow-up period. Current guidelines support TEVAR as a first-line repair method for traumatic isthmic rupture. Certain specific considerations related to TEVAR, such as the timing of the procedure, the type and oversizing of the endograft, heparinization during the procedure, the necessity of cerebrospinal fluid drainage, type of anesthesia, and the necessary follow-up strategy remain to be clarified. TEVAR should be considered advantageous compared to open surgery, but future developments in endovascular materials, along with accumulating long-term clinical data, will eventually improve TEVAR results in traumatic aortic isthmic rupture (TAIR) cases. This publication reviews the role, outcomes, and relevant issues linked to TEVAR in the repair of TAIR.

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Successful exclusion of an aortic aneurysm with a novel PTFE‐tube covered cobalt‐chromium stent in a pediatric patient with native coarctation of the aorta

Nordmeyer

Krämer

Berger

et al. 2018

Cathet Cardio Intervent

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Treatment of aneurysmal lesions in the context of coarctation of the aorta (CoA) is a challenging task and these lesions are rare in children. An 11-year-old boy was incidentally diagnosed with native CoA and concomitant complex aneurysmal lesions during medical check-up for arterial hypertension. Pre-catheterization imaging was performed with computed tomography (CT), which showed a mild CoA and two native aneurysms that were juxtaposed to the origin of the left subclavian artery. For planning and guidance of the catheter procedure, image fusion software was used with an overlay from pre-registered three-dimensional reconstruction images on live fluoroscopy. Here, we report the first case of successful treatment of an aneurysmal lesion in the context of native coarctation with a novel PTFE-tube covered cobalt-chromium stent (BeGraft, Bentley) in a pediatric patient.

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Percutaneous Balloon-Expandable Covered Stent Implantation for Treatment of Traumatic Aortic Injury in Children and Adolescents

Cited by 45 publications

References 24 publications

Balloon-expandable covered stent implantation for treatment of traumatic aortic pseudoaneurysm in a pediatric patient

Balloon-expandable covered stent implantation for treatment of traumatic aortic pseudoaneurysm in a pediatric patient

Endovascular Repair of Traumatic Isthmic Ruptures: Special Concerns

Successful exclusion of an aortic aneurysm with a novel PTFE‐tube covered cobalt‐chromium stent in a pediatric patient with native coarctation of the aorta

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