Stent-graft repair of traumatic thoracic aortic disruptions

Wellons, Eric D.; Milner, Ross; Solis, Maurice M.; Levitt, Adam; Rosenthal, David

doi:10.1016/j.jvs.2004.09.003

Cited by 101 publications

(86 citation statements)

References 24 publications

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“…In recent studies, the reported proximal fixation lengths have ranged between 22 and 28.5 mm (27). In the current study, the mean distance between the orifice of the left SCA and the thoracic aortic rupture was 23.5±6.1 mm.…”

Section: Discussionsupporting

confidence: 46%

Endovascular repair of thoracic and abdominal aortic ruptures: a single-center experience

İslim

Salık²,

Güven³

et al. 2014

Diagn Interv Radiol

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consecutive patients (nine males, two females; age range, 26-80 years) with thoracic and abdominal aortic ruptures underwent endovascular repair in our unit. Thoracoabdominal computed tomography (CT) angiography was performed for diagnosis and follow-up. Patients were selected for endovascular repair by a cardiovascular surgeon, anesthesiologist, and interventional radiologist. All repairs were performed using commercially available stent-grafts. The patients were followed up with CT angiography before discharge, at six months, and yearly thereafter. RESULTSThree patients died by day 30. One patient died due to an unsuccessful procedure and hemodynamic instability; two patients died because of comorbidities. The other eight patients were followed for six to 24 months after the procedure. No endoleaks or late ruptures were observed during the follow-up period. The patient with iatrogenic thoracic aortic rupture developed paraplegia after the procedure. CONCLUSIONReduced mortality due to aortic rupture has been reported with the expanding use of endovascular repair. Reports of small centers are important because of the rarity of these pathologies, and because transferring patients with aortic rupture to a referral center is not usually possible.

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Section: Discussionsupporting

confidence: 46%

Endovascular repair of thoracic and abdominal aortic ruptures: a single-center experience

İslim

Salık²,

Güven³

et al. 2014

Diagn Interv Radiol

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“…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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“…Additionally, the terms acute and chronic traumatic lesion is used incongruent in literature [6,13,18]. Nevertheless, the concomitant injuries seem to be the cause of mortality in patients treated with an endovascular stent graft [19][20][21][22]. Even in our cohort, the two cases of mortality were related to the contusion of the heart arising incurable arrhythmia.…”

Section: Discussionmentioning

confidence: 82%

Stent Grafts for Acute Traumatic Injury of the Thoracic Aorta: A Single-Centre Experience

Gawenda

Aleksic

Reichert

et al. 2007

Eur J Trauma Emerg Surg

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Stent-graft repair of traumatic thoracic aortic disruptions

Cited by 101 publications

References 24 publications

Endovascular repair of thoracic and abdominal aortic ruptures: a single-center experience

Endovascular repair of thoracic and abdominal aortic ruptures: a single-center experience

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

Stent Grafts for Acute Traumatic Injury of the Thoracic Aorta: A Single-Centre Experience

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