title: Endovascular repair of traumatic thoracic aortic injury: final results from the relay endovascular registry for thoracic disease.
abstract: BACKGROUND
  In blunt thoracic aortic injury, thoracic endovascular aortic repair (TEVAR) offers a less invasive alternative to open chest surgery. New reliable and accurate stent grafts have widened the endovascular treatment options. We report our experience with the Relay stent graft Bolton Medical, Sunrise, FL; Barcelona, Spain) for treatment of this injury.
  
  
  METHODS
  Relay Endovascular Registry for Thoracic Disease (RESTORE) is a multicenter, prospective European registry, which enrolled patients treated with the Relay stent graft for thoracic aortic diseases from April 2005 to January 2009. Regular follow-up examinations were conducted for up to 24 months. This paper analyzes the cohort of patients treated for traumatic aortic injury.
  
  
  RESULTS
  Forty adult trauma patients from 12 European centers underwent TEVAR. Mean age was 40 years and 34 patients were male. The proximal landing zone involved aortic arch zones 1 to 2 in 40% and zone 3 in 55% of procedures. Technical success was achieved in all cases. One (2.5%) patient suffered a rupture of the iliac artery. No patient developed procedure-related paraplegia or required conversion to open surgery. Follow-up imaging demonstrated complete exclusion of the traumatic tear and regression of the false aneurysms without endoleak or graft infolding. One late device-related complication was reported; penetration of the distal end of the stent graft treated by stent-graft extension. Thirty-day mortality was 2.5 % (n = 1), and late mortality 2.5% due to a secondary accident. Actuarial 2-year survival was 93.7%.
  
  
  CONCLUSIONS
  Thoracic endovascular aortic repair with the Relay stent graft is a safe and effective treatment for patients with traumatic aortic injury.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Germany. Electronic address: zipfel@dhzb.de.
authors.forename: Burkhart
authors.initials: B
authors.lastname: Zipfel
authors.affiliation: Department of Vascular Surgery, IRCCS, San Raffaele, Milan, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Chiesa
authors.affiliation: Department of Vascular Surgery, IRCCS, San Raffaele, Milan, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Kahlberg
authors.affiliation: Department of Vascular Surgery, IRCCS, San Raffaele, Milan, Italy.
authors.forename: Enrico Maria
authors.initials: EM
authors.lastname: Marone
authors.affiliation: Department of Radiology, Hôpital de Rangueil, Toulouse, France.
authors.forename: Herve
authors.initials: H
authors.lastname: Rousseau
authors.affiliation: Department of Vascular Surgery, Evangelismos Hospital, Athens, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Kaskarelis
authors.affiliation: Department of Vascular Surgery, Hospital Clínic, Barcelona, Spain.
authors.forename: Vincent
authors.initials: V
authors.lastname: Riambau
authors.affiliation: Department of Vascular Surgery, Policlinico di Modena, Italy.
authors.forename: Gioacchino
authors.initials: G
authors.lastname: Coppi
authors.affiliation: Department of Diagnostic and Interventional Radiology, Ospedale San Martino, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Ferro
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Ospedale Le Scotte, Siena, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Sassi
authors.affiliation: Department of Vascular Surgery, Hospital Germans Trias I Pujol, Barcelona, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Esteban
authors.affiliation: Department of Vascular Surgery, ACO, San Filippo Neri, Rome, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Mangialardi
authors.affiliation: Department of Vascular Surgery, IRCCS, Policlinico San Donato, Milan, Italy.
authors.forename: Domenico G
authors.initials: DG
authors.lastname: Tealdi
authors.affiliation: Department of Vascular Surgery, IRCCS, Policlinico San Donato, Milan, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Nano
authors.affiliation: Department of Cardiovascular and Interventional Radiology, Allgemeines Krankenhaus, Vienna, Austria.
authors.forename: Maria
authors.initials: M
authors.lastname: Schoder
authors.affiliation: Department of Cardiovascular and Interventional Radiology, Allgemeines Krankenhaus, Vienna, Austria.
authors.forename: Martin
authors.initials: M
authors.lastname: Funovics
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Germany.
authors.forename: Semih
authors.initials: S
authors.lastname: Buz
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Germany.
authors.forename: Roland
authors.initials: R
authors.lastname: Hetzer
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery*; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011474:Prosthesis Design; D012042:Registries; D015607:Stents; D013896:Thoracic Diseases; D055815:Young Adult