Treatment of acute thoracic aortic injury with commercially available abdominal aortic stent-grafts.
Traumatic rupture of the thoracic aorta is a common cause of death after vehicle collisions. Associated injuries are common, and patients with lung injury, cardiac contusion, abdominal bleeding, and head injury comprise a group at high risk for conventional surgical or medical therapy. In this particular population, existing commercially available stent-grafts may provide a life-saving repair option. The Ancure and AneuRx stent-grafts, designed for abdominal aortic aneurysm application, were successfully placed in three patients. Accommodation for the short length of the delivery device was achieved by retroperitoneal iliac artery access. All patients had follow-up computed tomography (CT) without evidence of endoleak and were doing well with respect to their chest trauma after 5-9 months of follow-up.
Hoffer
Eric K
EK
Department of Radiology, Section of Interventional Angiography, Harborview Medical Center, 325 9th Avenue, Box 359728, Seattle, Washington 98104, USA. rhoffer@u.washington.edu
Karmy-Jones
Riyad
R
Bloch
Robert D
RD
Meissner
Mark H
MH
Borsa
John J
JJ
Nicholls
Steve C
SC
So
Coralli R
CR
D000063:Accidents, Traffic; D000208:Acute Disease; D001012:Aorta, Abdominal; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries*; D001019:Aortic Rupture / Q000209:etiology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D002648:Child; D005260:Female; D006801:Humans; D022125:Lacerations / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents