Document Detail


Endovascular repair of the aorta and aortic arch arteries damaged during mediastinoscopy.
MedLine Citation:
PMID:  22178438     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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:
Sara-Jane Smith; Oliver T A Lyons; Ashish S Patel; Rachel E Clough; Richard Salter; Rachel E Bell; Peter R Taylor
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Publication Detail:
Type:  Journal Article     Date:  2011-12-16
Journal Detail:
Title:  Journal of vascular surgery     Volume:  55     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-02     Completed Date:  2012-05-30     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1138-40     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Vascular Surgery, King's Health Partners, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aneurysm, False / etiology,  therapy*
Angioplasty / methods*
Aorta, Thoracic / injuries*,  radiography
Female
Follow-Up Studies
Hodgkin Disease / diagnosis,  surgery
Humans
Lung Neoplasms / diagnosis,  surgery
Male
Mediastinal Neoplasms / diagnosis*,  surgery
Mediastinoscopy / adverse effects*,  methods
Multivariate Analysis
Risk Assessment
Sampling Studies
Stents
Tomography, X-Ray Computed / methods
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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