title: Long-term results following emergency stent graft repair for traumatic rupture of the aortic isthmus.
abstract: Endovascular repair of traumatic injury of the aortic isthmus is a safe technique that has shown good short-term results. However, the future of these stent grafts remains unexamined, especially in relation to young patients.
  
  
  
  Between January 2000 and December 2014, 60 patients were treated with endovascular aortic stent graft for injury of the aortic isthmus. Follow-up was done by computed tomography scans with intravenous contrast or magnetic resonance imaging associated with a chest X-ray in order to control the stent graft.
  
  
  
  In total, 48 men (80%) were included; the average age was 43 ± 17 years [17; 79]. The median time between the accident and endovascular repair was 6 h. Endovascular repair was successful in all cases with no cerebrovascular or paraplegia after treatment. Seventeen patients (27.3%) received a total coverage of the left subclavian artery; one of them received a subclavian carotid bypass. Mean follow-up was 5 years with a maximum of 14 years. There was no repeat surgery related to the aorta during follow-up. No stent graft failure, neurological or ischaemic event related to the stent graft was noted. One patient had a type 1 endoleak without any reintervention. The survival rate was 86.5% in 1 year, 81.6% in 5 years and 75.3% in 10 years.
  
  
  
  Treatment of injuries of the aortic isthmus with stent graft seems to be a safe long-term technique; we did not notice any event related to the stent graft during the follow-up.
authors.affiliation: Thoracic and Vascular Centre, Cardiac Surgery Clinic, Grenoble University Hospital, Grenoble, France.
authors.forename: Cecile
authors.initials: C
authors.lastname: Martin
authors.affiliation: Central Radiology and Medical Imaging Service, Grenoble University Hospital, Grenoble, France.
authors.forename: Frederic
authors.initials: F
authors.lastname: Thony
authors.affiliation: Central Radiology and Medical Imaging Service, Grenoble University Hospital, Grenoble, France.
authors.forename: Mathieu
authors.initials: M
authors.lastname: Rodiere
authors.affiliation: Surgical Polyvalent Intensive Care Unit, Grenoble University Hospital, Grenoble, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Bouzat
authors.affiliation: Surgical Polyvalent Intensive Care Unit, Grenoble University Hospital, Grenoble, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Lavagne
authors.affiliation: Cardiovascular and Thoracic Intensive Care Unit, Grenoble University Hospital, Grenoble, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Durand
authors.affiliation: Thoracic and Vascular Centre, Cardiac Surgery Clinic, Grenoble University Hospital, Grenoble, France.|HP2 Laboratory, Université Grenoble Alpes, Grenoble, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Chavanon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D004630:Emergencies; D057510:Endovascular Procedures / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053208:Kaplan-Meier Estimate; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D055815:Young Adult
keywords: Aorta; Blunt; Endovascular procedure; Outcomes; Trauma