Abstract
The conventional treatment of traumatic thoracic aortic transection is open surgical repair but it is associated with high rates of morbidity and mortality, particularly in patients with multiple injuries. We reviewed our experience of endovascular repair of traumatic thoracic aortic transection. Between March 2002 and December 2007, 7 patients (male 6, female 1; mean age 40 years) with multiple injuries secondary to blunt trauma underwent endovascular stenting. One patient required adjunctive surgery to facilitate endovascular stenting. Mean intensive care unit stay was 8.6 days (range, 3-16 days). Arterial access in all patients was obtained by femoral cut-down. The mean operating time was 122 min. Technical success was achieved in all cases. There was no mortality. One patient suffered a right parietal stroke, but none developed procedure-related paralysis. The mean follow-up period was 18.6 months (range, 6-48 months). There was no evidence of endoleak, stent migration, or late pseudoaneurysm formation on follow-up computed tomography. Endovascular stents can be used to treat traumatic thoracic aortic transection, with low rates of morbidity and mortality. Although early and midterm results are promising, the long-term dura...Continue Reading
References
Nov 1, 1991·Annals of Vascular Surgery·J C ParodiH D Barone
Dec 29, 1994·The New England Journal of Medicine·M D DakeR P Liddell
Mar 1, 1997·The Journal of Trauma·T C FabianB L Enderson
May 1, 1997·Journal of Vascular and Interventional Radiology : JVIR·C P SembaM D Dake
Feb 2, 1999·Circulation·H RousseauP Otal
Jun 7, 2000·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·A PierangeliG Gavelli
May 24, 2001·The Journal of Trauma·S H AhnJ M Slaiby
May 10, 2002·The Annals of Thoracic Surgery·James H HolmesRiyad C Karmy-Jones
Jun 5, 2002·The Journal of Trauma·Charles S ThompsonEdward B Diethrich
Jun 1, 1958·Circulation·L F PARMLEYE J JAHNKE
Oct 22, 2003·Annals of Vascular Surgery·Karthikeshwar KasirajanMark Langsfeld
May 7, 2004·The Journal of Trauma·Michael C OttThomas L Forbes
Nov 24, 2004·Journal of Vascular Surgery·Philippe AmabilePhilippe Piquet
Dec 29, 2004·Journal of Vascular Surgery·Eric D WellonsDavid Rosenthal
May 4, 2005·The Journal of Thoracic and Cardiovascular Surgery·H RousseauP Otal
Jul 6, 2005·Vascular·Saiqa Sayed, Matt M Thompson
Aug 25, 2006·The Annals of Thoracic Surgery·Hassan Y TehraniMark K Eskandari
Nov 6, 2007·Journal of Vascular Surgery·Michael R GoJae-Sung Cho
Citations
Nov 23, 2015·Journal of Cardiothoracic Surgery·Raffaele SerraPasquale Mastroroberto
Mar 28, 2017·PloS One·Alexander GombertJochen Grommes
Oct 12, 2011·The Journal of Trauma·Riyad Karmy-JonesSteven Shackford
Nov 26, 2010·Journal of Cardiovascular Medicine·Emanuele CatenaFelice Achilli
Feb 12, 2019·Vascular·Xin Nee HoAndrew Mtl Choong