Document Detail


Traumatic thoracic aortic aneurysm: treatment with endovascular stent-grafts.
MedLine Citation:
PMID:  9393517     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To demonstrate the feasibility and safety of endovascular stent-graft placement for treatment of traumatic aortic aneurysm. MATERIALS AND METHODS: Ten patients with traumatic aortic aneurysm were treated with endovascular stent-grafts. Three patients had an acute traumatic aneurysm; seven had a chronic aneurysm. Stent-grafts were constructed from modified Z-stents covered with woven polyester or expanded polytetrafluoroethylene graft material and were deployed through a 20-24-F delivery sheath in an exposed artery located remotely from the lesion. RESULTS: Stent-graft placement and thrombosis of the aneurysmal sac were successful in all patients. Major complications were encountered in three patients after endovascular treatment. One patient had a peri-graft leak; complete thrombosis of the aneurysmal sac was achieved after coil embolization of the leak. Transposition of the left subclavian artery was necessary to relieve left arm ischemia in another patient. In the third patient, stent placement in the left main stem bronchus was needed to relieve left lung atelectasis. All patients were alive and without complications during the follow-up period (mean, 15 months). CONCLUSION: Transluminal placement of endovascular stent-grafts is a technically feasible method for treatment of traumatic thoracic aortic aneurysm and may be an effective alternative to open-chest surgery.
Authors:
N Kato; M D Dake; D C Miller; C P Semba; R S Mitchell; M K Razavi; S T Kee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  205     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1997-12-30     Completed Date:  1997-12-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  657-62     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiovascular-Interventional Radiology, Stanford University Medical Center, CA 94305-5105, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Aorta, Thoracic / injuries*
Aortic Aneurysm, Thoracic / etiology*,  surgery*
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation* / methods
Feasibility Studies
Female
Follow-Up Studies
Humans
Male
Middle Aged
Polyesters
Polytetrafluoroethylene
Postoperative Complications / epidemiology
Prosthesis Design
Stents*
Time Factors
Wounds, Gunshot / complications
Chemical
Reg. No./Substance:
0/Polyesters; 9002-84-0/Polytetrafluoroethylene
Comments/Corrections
Comment In:
Radiology. 1998 Oct;209(1):283-4   [PMID:  9769847 ]

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


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