Curved nitinol stent-graft placement for treating blunt thoracic aortic injury: an early experience

The Annals of Thoracic Surgery
Masato YamaguchiYutaka Okita

Abstract

Blunt trauma-induced aortic injury traditionally has been treated with early open surgical repair. However, recently endovascular stent-graft technology is considered a less-invasive therapeutic alternative, and flexible stent-grafts, such as the Matsui-Kitamura stent-graft (MKSG), are being used widely. We report our experience with the curved MKSG in treating thoracic aortic injuries. Nine patients with traumatic thoracic aortic injury underwent endovascular surgery (8, emergency; 1, elective) with curved MKSG. The study variables were Injury Severity Score, endovascular surgery duration, aortic and stent-graft diameter, stay in the intensive care unit, follow-up period, and mortality. An MKSG was constructed using the Matsui-Kitamura stent and a polyester fabric graft. The stent-graft was placed using the transfemoral approach and the wire-tug technique. The mean Injury Severity Score was 42.3; 5 patients required 6 emergency procedures before the endovascular procedure (pneumothorax or hemothorax drainage, 5; transarterial embolization, 1). In 8 patients (88.9%), we achieved complete pseudoaneurysm exclusion or hemostasis in the injured portion. There were no postoperative complications; blood loss was minimal, and the inte...Continue Reading

References

Mar 1, 1994·The Annals of Thoracic Surgery·J S WilliamsJ P Steinig
Nov 4, 1998·The Annals of Thoracic Surgery·J S GammieS M Pham
Mar 29, 2000·The Annals of Thoracic Surgery·M GrabenwögerM Havel
Feb 5, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·D RichensC Oakley
May 30, 2002·American Journal of Surgery·W R Eric JamiesonCharmaine Henderson
Aug 9, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Johannes GörichReinhard Pamler
Nov 15, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Karl Heinz OrendLudger Sunder-Plassmann
Feb 1, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·D RichensA Fails
Nov 24, 2004·Journal of Vascular Surgery·Philippe AmabilePhilippe Piquet
Dec 29, 2004·Journal of Vascular Surgery·Eric D WellonsDavid Rosenthal
Mar 24, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Junetsu AkasakaAtsushi Iguchi
May 10, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G MelissanoR Chiesa
Oct 26, 2005·Journal of Vascular Surgery·John L AndersonDavid E Hartley
Mar 8, 2006·Journal of Vascular Surgery·Markus G M SteinbauerPiotr M Kasprzak
Apr 25, 2006·The Annals of Thoracic Surgery·Grayson H WheatleyEdward B Diethrich
Aug 22, 2006·American Journal of Surgery·Carlo PratesiRaffaele Pulli
Oct 25, 2006·The Journal of Thoracic and Cardiovascular Surgery·Bertrand MarcheixHervé Rousseau

❮ Previous
Next ❯

Citations

Mar 29, 2011·Cardiovascular and Interventional Radiology·Hervé RousseauJulien Auriol
Aug 30, 2008·The Annals of Thoracic Surgery·Sina L Moainie, Bartley P Griffith
Mar 1, 2013·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Akhmadu MuradiKoji Sugimoto
Feb 25, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A H SepehripourT Athanasiou
Jun 22, 2010·Interactive Cardiovascular and Thoracic Surgery·Eleftherios ChalvatzoulisGeorge Drossos
Oct 22, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Tilo KölbelMartin Malina

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
K H OrendL Sunder-Plassmann
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
R J HinchliffeKrassi Ivancev
© 2022 Meta ULC. All rights reserved