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Annals of Vascular Surgery
Published in: Annals of Vascular Surgery 2/2006

01-03-2006

Novel Endovascular Treatment of Blunt Thoracic Aortic Trauma with a Self-Expanding Stent Lined with Aortic Extender Cuffs

Authors: J. Keith Thompson, DO, Amy B. Reed, MD, Joseph S. Giglia, MD

Published in: Annals of Vascular Surgery | Issue 2/2006

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Abstract

We report the successful treatment of blunt thoracic aortic trauma with a self-expanding stent lined with commercially available aortic extender cuffs. A 24 × 70 mm Wallstent® was positioned distal to the left subclavian artery via a left femoral approach. The stent was then lined with three overlapping Gore Excluder® aortic extender cuffs. Intravascular ultrasound was performed pre- and postdeployment. The aortic pseudoaneurysm was successfully excluded. The self-expanding stent facilitated placement of the extender cuffs and improved the contact between the multiple cuffs. This technique could still have utility in emergency settings when approved thoracic endografts are available for this indication.
Literature
1.
Deshpande A, Mossop P, Gurry J, et al. Treatment of traumatic false aneurysm of the thoracic aorta with endoluminal grafts. J Endovasc Surg 1998;5:120–125PubMedCrossRef
2.
Criado FJ, Clark NS, Barnatan MF. Stent graft repair in the aortic arch and descending thoracic aorta: a 4-year experience. J Vasc Surg 2002;36:1121–1128PubMedCrossRef
3.
Thompson CS, Rodriguez JA, Ramaiah VG, et al. Acute traumatic rupture of the thoracic aorta treated with endoluminal stent grafts. J Trauma 2002;52:1173–1177PubMedCrossRef
4.
Sam A II, Kibbe M, Matsumura J, Eskandari M. Blunt traumatic aortic transection: endoluminal repair with commercially available aortic cuffs. J Vasc Surg 2003;38:1132–1135PubMedCrossRef
Metadata
Title
Novel Endovascular Treatment of Blunt Thoracic Aortic Trauma with a Self-Expanding Stent Lined with Aortic Extender Cuffs
Authors
J. Keith Thompson, DO
Amy B. Reed, MD
Joseph S. Giglia, MD
Publication date
01-03-2006
Publisher
Springer-Verlag
Published in
Annals of Vascular Surgery / Issue 2/2006
Print ISSN: 0890-5096
Electronic ISSN: 1615-5947
DOI
https://doi.org/10.1007/s10016-006-9008-0

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