Mid- and long-term results of endovascular treatment in thoracic aorta blunt trauma.
OBJECTIVE
Evaluation of results in blunt injury of the thoracic aorta (BAI) endovascular treatment.


METHODS
Sixteen patients were treated for BAI. Thirteen patients had associated polytrauma, 4 of these had a serious hypotensive status and 4 had an hemothorax. In the remaining 3, two had a post-traumatic false aneurysm of the isthmus and 1 had a segmental dissection. In those 13 patients a periaortic hematoma was associated to hemothorax in 4. All patients were submitted to an endovascular treatment, in two cases the subclavian artery ostium was intentionally covered.


RESULTS
One patient died for disseminated intravascular coagulation. No paraplegia was recorded. No ischemic complications were observed. A type I endoleak was treated by an adjunctive cuff. During the followup (1-9 years) 3 patients were lost. A good patency and no endoleaks were observed in all cases. One infolding and 1 migration of the endografts were corrected by an adjunctive cuff.


CONCLUSIONS
The medium and long term results of the endovascular treatment of BAI are encouraging with a low incidence rate of mortality and complications. More suitable endo-suite and endografts could be a crucial point for the further improvement of these results.
Department of Vascular Surgery, Sapienza University of Rome, 00161 Rome, Italy. f_irace@yahoo.it
Luigi
L
Irace
Antonella
A
Laurito
Salvatore
S
Venosi
Francesco Giosuè
FG
Irace
Alban
A
Malay
Bruno
B
Gossetti
Luciano
L
Bresadola
Roberto
R
Gattuso
Ombretta
O
Martinelli
D000063:Accidents, Traffic; D000328:Adult; D000368:Aged; D001013:Aorta, Thoracic / Q000293:injuries / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery; D001019:Aortic Rupture / Q000150:complications / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D015897:Comorbidity; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000601:surgery*