title: Emergent endovascular interventions for contained rupture of thoracic aortic aneurysms.
abstract: BACKGROUND
  The purpose of our study was to assess in an emergency setting the feasibility of endovascular stent graft treatment of contained ruptures of thoracic aortic aneurysms.
  
  
  METHODS
  Seven patients with contained ruptures of thoracic aortic aneurysms from a series of 54 endovascular interventions were treated by the deployment of an aortic stent graft. In all cases, hemothorax was present. Acute deployment was performed with the patient under general anesthesia, and access was gained via the common femoral or iliac arteries. After a follow-up o f 12 months, the patients were evaluated by computed tomography.
  
  
  RESULTS
  One patient died perioperatively. The procedure was technically successful in 5 patients. Perioperatively and at follow-up, there were no cases of paraplegia, stent graft migration, or endoleaks. There were, however, 2 cases of access failure, 1 case of temporary renal failure, and 2 patients who required prolonged mechanical ventilation.
  
  
  CONCLUSIONS
  The acute treatment of contained ruptures of thoracic aortic aneurysms is feasible. This form of treatment seems to be a promising option in the treatment of these high-risk patients.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Johann Wolfgang Goethe University Frankfurt/Main, Frankfurt/Main, Germany. mirkodoss@aol.com
authors.forename: Mirko
authors.initials: M
authors.lastname: Doss
authors.forename: Jorn
authors.initials: J
authors.lastname: Balzer
authors.forename: Sven
authors.initials: S
authors.lastname: Martens
authors.forename: Hans-Gerd
authors.initials: HG
authors.lastname: Fieguth
authors.forename: Thomas
authors.initials: T
authors.lastname: Vogl
authors.forename: Anton
authors.initials: A
authors.lastname: Moritz
authors.forename: Gerhard
authors.initials: G
authors.lastname: Wimmer-Greinecker
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D002404:Catheterization / Q000379:methods; D004630:Emergencies; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D015641:Radiography, Interventional; D012422:Rupture, Spontaneous; D015607:Stents