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Blunt injury thoracic aorta & endovascular treatment,
Idla et al.
www.angiologia.pl
(off-label) because the patient was severely injured and
unfit for major aortic reconstruction. Nowadays, the
third generation of Conformable GORE®TAG® device
and other devices are available especially designed to
avoid sealing problems related to the relativity small
diameters of the thoracic aorta and the tight aortic arch.
Should collapse of an endograft occur, there are several
treatment possibilities to resolve this clinical situation. We
decided to performed extra-anatomical crossover bypass
and then to employ the second new endograft which was
proximal compared to the previously implanted device.
Finally, we would like to emphasize the importance
of knowing the specific requirements of the endovascular
devices (now available third-generation) as well as the
basic knowledge on anatomical specific features in young
patients after blunt thoracic aortic injury.
Conclusions
In this case report, we would like to emphasize
the importance of knowledge about the specific ana-
tomical features in young trauma patients. Additionally,
it is mandatory to obtain the detailed information on
the new generation of devices for the thoracic aorta.
We hope that the third generation and new endografts
(including such features as built-in angulation capability)
will significantly diminish these kinds of problems in the
treatment of young multiple trauma patients.
Acknowledgements
We would like to thank Dr. Georg Pimenoff (Depart-
ment of Radiology, Tampere University Hospital) for his
collaboration and technical support.
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