title: Endovascular repair of the aorta and aortic arch arteries damaged during mediastinoscopy.
abstract: Despite advances in imaging techniques, mediastinoscopy remains an important tool for the staging of the mediastinum in non-small cell lung cancer and diagnosing lymphoma with mediastinal adenopathy. Injury to the arterial system during mediastinoscopy is infrequent but a potentially fatal complication. We report three cases of injury to the aorta and supra-aortic arteries sustained during mediastinoscopy. These were effectively managed by endovascular techniques. Patient recovery was uncomplicated and median length of stay was 3 days. This technique avoids major open surgery in a high-risk group of patients and may offer a mortality benefit and more rapid resumption of oncological treatment.
authors.affiliation: Department of Vascular Surgery, King's Health Partners, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
authors.forename: Sara-Jane
authors.initials: SJ
authors.lastname: Smith
authors.forename: Oliver T A
authors.initials: OT
authors.lastname: Lyons
authors.forename: Ashish S
authors.initials: AS
authors.lastname: Patel
authors.forename: Rachel E
authors.initials: RE
authors.lastname: Clough
authors.forename: Richard
authors.initials: R
authors.lastname: Salter
authors.forename: Rachel E
authors.initials: RE
authors.lastname: Bell
authors.forename: Peter R
authors.initials: PR
authors.lastname: Taylor
mesh_terms: D000328:Adult; D000368:Aged; D017541:Aneurysm, False / Q000209:etiology / Q000628:therapy*; D017130:Angioplasty / Q000379:methods*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D005500:Follow-Up Studies; D006689:Hodgkin Disease / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008479:Mediastinal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D008481:Mediastinoscopy / Q000009:adverse effects* / Q000379:methods; D015999:Multivariate Analysis; D018570:Risk Assessment; D012494:Sampling Studies; D015607:Stents; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome