Novel endovascular treatment of blunt thoracic aortic trauma with a self-expanding stent lined with aortic extender cuffs.
We report the successful treatment of blunt thoracic aortic trauma with a self-expanding stent lined with commercially available aortic extender cuffs. A 24 x 70 mm Wallstent was positioned distal to the left subclavian artery via a left femoral approach. The stent was then lined with three overlapping Gore Excluder aortic extender cuffs. Intravascular ultrasound was performed pre- and post-deployment. The aortic pseudoaneurysm was successfully excluded. The self-expanding stent facilitated placement of the extender cuffs and improved the contact between the multiple cuffs. This technique could still have utility in emergency settings when approved thoracic endografts are available for this indication.
Division of Vascular Surgery, Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH 45267-0558, USA.
J Keith
JK
Thompson
Amy B
AB
Reed
Joseph S
JS
Giglia
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D017130:Angioplasty; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D015607:Stents; D013406:Suicide, Attempted; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating