The endovascular approach to acute aortic trauma.
Endovascular repair of the traumatically injured thoracic aorta has emerged as an exceptionally promising modality that is typically quicker than open repair, with a reduced risk of paralysis. There are a specific set of anatomic criteria that need to be applied, which can be rapidly assessed by the CT angiogram. The enthusiasm for endovascular repair must be tempered by recognition of the complications and lack of long-term follow-up, particularly in younger patients. Surgeons who are skilled in open aortic repair must not only be involved, but should take on a leadership role during the planning, deployment, and follow-up of these patients. Familiarity with all of the available devices expands treatment options. As more specific devices become available, and more follow-up is accrued, the role of endovascular stents will continue to grow.
Karmy-Jones
Riyad
R
Heart and Vascular Center, Divisions of Cardiac, Vascular and Thoracic Surgery, Southwest Washington Medical Center, SWMC Physicians Pavilion, Suite 300, 200 N.E. Mother Joseph Place, Vancouver, WA 98664, USA. karmy@myuw.net
Nicholls
Stephen
S
Gleason
Thomas G
TG
D017130:Angioplasty / Q000009:adverse effects / Q000379:methods*; D001011:Aorta / Q000293:injuries*; D001019:Aortic Rupture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D015607:Stents; D016896:Treatment Outcome