Blunt traumatic aortic transection

The endovascular experience

Victoria P. Orford, Noel R. Atkinson, Ken Thomson, Peter Y. Milne, William A. Campbell, Andrew Roberts, John Goldblatt, James Tatoulis, Alan D. Hilgenberg, J Ernesto Molina, John S. Ikonomidis, Andrew Carney

Research output: Contribution to journalArticle

87 Citations (Scopus)

Abstract

Background. Thoracic aortic transection resulting from blunt trauma is usually fatal. It is almost always associated with multiple, complex, nonaortic injuries that could be adversely affected by standard surgical repair of the aorta. Endovascular stenting techniques offer these patients a less physiologically disruptive treatment option. We studied the feasibility and safety of endovascular stent graft placement for treatment of acute traumatic aortic transection. Methods. Between 1994 and 2001, 9 patients were treated emergently for aortic transections with stent graft placement. The first patient had a custom-made prototype, and the other 8 patients had the Cook-Zenith thoracic stent graft implanted. All were polyester-covered Z-stent construction and deployed through a femoral 20- to 24-F delivery sheath. Results. Stent graft placement successfully sealed the aorta in all patients. One patient died as a result of a cerebrovascular accident. One patient required a brachial thrombectomy to relieve arm ischemia. The remaining eight patients were alive and without complications during the follow-up period (mean 21 months). Conclusions. Endovascular repair for acute aortic transection is a safe, effective, and timely treatment option. It may be the treatment of choice in patients with extensive associated injuries.

Original languageEnglish (US)
Pages (from-to)106-112
Number of pages7
JournalAnnals of Thoracic Surgery
Volume75
Issue number1
DOIs
StatePublished - Jan 1 2003

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Stents
Transplants
Aorta
Wounds and Injuries
Arm
Thorax
Thrombectomy
Endovascular Procedures
Polyesters
Therapeutics
Thigh
Ischemia
Stroke
Safety

Cite this

Orford, V. P., Atkinson, N. R., Thomson, K., Milne, P. Y., Campbell, W. A., Roberts, A., ... Carney, A. (2003). Blunt traumatic aortic transection: The endovascular experience. Annals of Thoracic Surgery, 75(1), 106-112. https://doi.org/10.1016/S0003-4975(02)04331-X

Blunt traumatic aortic transection : The endovascular experience. / Orford, Victoria P.; Atkinson, Noel R.; Thomson, Ken; Milne, Peter Y.; Campbell, William A.; Roberts, Andrew; Goldblatt, John; Tatoulis, James; Hilgenberg, Alan D.; Molina, J Ernesto; Ikonomidis, John S.; Carney, Andrew.

In: Annals of Thoracic Surgery, Vol. 75, No. 1, 01.01.2003, p. 106-112.

Research output: Contribution to journalArticle

Orford, VP, Atkinson, NR, Thomson, K, Milne, PY, Campbell, WA, Roberts, A, Goldblatt, J, Tatoulis, J, Hilgenberg, AD, Molina, JE, Ikonomidis, JS & Carney, A 2003, 'Blunt traumatic aortic transection: The endovascular experience', Annals of Thoracic Surgery, vol. 75, no. 1, pp. 106-112. https://doi.org/10.1016/S0003-4975(02)04331-X
Orford VP, Atkinson NR, Thomson K, Milne PY, Campbell WA, Roberts A et al. Blunt traumatic aortic transection: The endovascular experience. Annals of Thoracic Surgery. 2003 Jan 1;75(1):106-112. https://doi.org/10.1016/S0003-4975(02)04331-X
Orford, Victoria P. ; Atkinson, Noel R. ; Thomson, Ken ; Milne, Peter Y. ; Campbell, William A. ; Roberts, Andrew ; Goldblatt, John ; Tatoulis, James ; Hilgenberg, Alan D. ; Molina, J Ernesto ; Ikonomidis, John S. ; Carney, Andrew. / Blunt traumatic aortic transection : The endovascular experience. In: Annals of Thoracic Surgery. 2003 ; Vol. 75, No. 1. pp. 106-112.
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