open access

Vol 13, No 2 (2007)
Original papers
Published online: 2007-04-17
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Endovascular treatment of traumatic injuries of thoracic aorta

Robert Juszkat, Marek Jemielity, Fryderyk Pukacki, Grzegorz Oszkinis, Ryszard Staniszewski, Jerzy Kulesza, Violetta Nowak, Wacław Majewski
Acta Angiologica 2007;13(2):65-74.

open access

Vol 13, No 2 (2007)
Original papers
Published online: 2007-04-17

Abstract


Background. The aim of this paper is the evaluation of endovascular treatment of traumatic injuries of the thoracic aorta.
Material and methods. In the years 2003-2005, 13 patients were treated for traumatic injuries of the descending aorta related to traffic accidents. The types of traumatic lesions of the aorta were determined according to contrast-enhanced computed tomography (CT). This imaging also allowed the determination of the parameters necessary for stentgraft implantation, as well as possible injuries of other internal organs. In 12 patients, the procedure was performed through common femoral artery access; in one case, the stentgraft was introduced through a Dacron prosthesis sutured to the abdominal aorta. In nine cases, the stentgraft was implanted just below the origin of the left subclavian artery, and in four cases, below the origin of the left common carotid artery occluding the origin of the subclavian artery.
Results. In six patients, post-traumatic pseudoaneurysm of the thoracic aorta was diagnosed, aortic rupture with blood extravasation into mediastinum and pleural cavities in four others; whereas, in the three subsequent patients, type B aortic dissection was diagnosed. In all cases a good short-term treatment outcome was achieved along with the patient’s stable condition.
Conclusions. Endovascular treatment involving stentgraft implantation is a safe and rapid method of treatment for traumatic injuries of the descending aorta. In the case of injury to the higher portion of the aorta, occlusion of the origin of the left subclavian artery is possible without secondary symptoms of ischaemia of CNS and/or left upper limb.

Abstract


Background. The aim of this paper is the evaluation of endovascular treatment of traumatic injuries of the thoracic aorta.
Material and methods. In the years 2003-2005, 13 patients were treated for traumatic injuries of the descending aorta related to traffic accidents. The types of traumatic lesions of the aorta were determined according to contrast-enhanced computed tomography (CT). This imaging also allowed the determination of the parameters necessary for stentgraft implantation, as well as possible injuries of other internal organs. In 12 patients, the procedure was performed through common femoral artery access; in one case, the stentgraft was introduced through a Dacron prosthesis sutured to the abdominal aorta. In nine cases, the stentgraft was implanted just below the origin of the left subclavian artery, and in four cases, below the origin of the left common carotid artery occluding the origin of the subclavian artery.
Results. In six patients, post-traumatic pseudoaneurysm of the thoracic aorta was diagnosed, aortic rupture with blood extravasation into mediastinum and pleural cavities in four others; whereas, in the three subsequent patients, type B aortic dissection was diagnosed. In all cases a good short-term treatment outcome was achieved along with the patient’s stable condition.
Conclusions. Endovascular treatment involving stentgraft implantation is a safe and rapid method of treatment for traumatic injuries of the descending aorta. In the case of injury to the higher portion of the aorta, occlusion of the origin of the left subclavian artery is possible without secondary symptoms of ischaemia of CNS and/or left upper limb.
Citation Formats

Keywords

traumatic injuries; endovascular treatment; stentgraft

About this article
Title

Endovascular treatment of traumatic injuries of thoracic aorta

Journal

Acta Angiologica

Issue

Vol 13, No 2 (2007)

Pages

65-74

Published online

2007-04-17

Bibliographic record

Acta Angiologica 2007;13(2):65-74.

Keywords

traumatic injuries
endovascular treatment
stentgraft

Authors

Robert Juszkat
Marek Jemielity
Fryderyk Pukacki
Grzegorz Oszkinis
Ryszard Staniszewski
Jerzy Kulesza
Violetta Nowak
Wacław Majewski

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