Traumatic thoracic aortic transection in small-diameter aortas: percutaneous endograft repair.
The authors describe percutaneous repair of traumatic aortic transection in small-caliber aortas by using iliac extender stent-grafts in three patients (two female and one male patient; average age, 29.3 years). The average aortic diameters were 18.7 mm proximal and 16.4 mm distal to the tear. Iliac limb extenders (55 mm in length, 20-22 mm in diameter) were transferred from their 55-cm long delivery sheaths into 80-cm 16- or 18-F sheaths. The long sheaths enabled the percutaneous delivery of multiple stent-grafts to the thoracic aorta via a single femoral sheath. The transections were successfully treated in all patients without complication.
Kaufman
John A
JA
Dotter Interventional Institute, L-605, Oregon Health & Science University, 3181 S W Sam Jackson Pk Rd, Portland, OR 97239, USA. kaufmajo@ohsu.edu
Song
Howard K
HK
Ham
Bruce B
BB
Slater
Matthew S
MS
D000293:Adolescent; D000328:Adult; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents; D016896:Treatment Outcome