Dissection of the abdominal aorta in blunt trauma: management by percutaneous stent placement.
We implanted stents in three patients who had traumatic abdominal aortic dissections, complicated by right limb ischemia in one case. The circulating false channel extended to the left iliac artery in one case and to both iliac arteries in the last case. Diagnosis and radiological follow-up included ultrasound, computed tomography, and arteriography. Two patients were treated with Wallstents, one with a Palmaz stent. The occlusion of the false channel was obtained in all patients without any significant residual stenosis. No early or late complication was noted in any of the patients. The longest follow-up was 2 years. We conclude that stent placement is an efficient method for the treatment of noniatrogenic inframesenteric aortic dissections.
Vernhet
H
H
Department of Thoracic and Cardiovascular Imaging, CHU Arnaud de Villeneuve, F-34295 Montpellier cedex, France.
Marty-Ané
C H
CH
Lesnik
A
A
Chircop
R
R
Serres-Cousiné
O
O
Picard
E
E
Mary
H
H
Senac
J P
JP
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000628:therapy*; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000293:injuries*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000628:therapy*; D001027:Aortography; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000628:therapy; D007866:Leg / Q000098:blood supply; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000628:therapy*