Purpose
Background: Acute traumatic rupture of thoracic aorta is an life threatening situation.
The presence of severe associated injuries many times precludes conventional surgery.
The aim of this study was to assess the complications and the long term survival of Thoracic Endovascular Aortic Repair (TEVAR) in acute traumatic rupture.
Methods and Materials
Material and Methods: Between January 2008 and Dicember 2010 ,
11 consecutive patients with acute traumatic rupture of the thoracic aorta underwent TEVAR.
All patients were male,
mean age was 41,45 years (range 27-60).
The devices used were Relay-Bolton (1),
Talent-Medtronic (9) and TAG-Gore (1) stent grafts.
Results
Results: All patients underwent immediate aortic repair and technical success was achieved in all cases.
After a mean follow up of 20 months,
no deaths,
renal failure or neurologic complications (paraplegia or stroke) were observed.
Non second surgery were required.
30-day complications was present in one patient: sepsis in urinary tract infection.
All computed tomography scans performed during the follow up revealed no evidence of endoleak,
migration or alteration of stent graft.
Conclusion
Conclusions:TEVAR in acute phase of traumatic aortic rupture is feasible,
safety and effectiveness procedure and may represent an alternative to open surgery for high-risk patients.
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Impact of stent-graft development on outcome of endovascular repair of acute traumatic transection of the thoracic aorta.
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Mitchell ME,
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Byrd TC,
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Emergency procedures...