scholarly journals Iliac Leg and Abdominal Aortic Cuff Stent-Graft for Blunt Thoracic Aortic Injury in Young Patient

2014 ◽  
Vol 20 (Supplement) ◽  
pp. 825-828
Author(s):  
Akhmadu Muradi ◽  
Masato Yamaguchi ◽  
Koji Idoguchi ◽  
Yoshikatsu Nomura ◽  
Takuya Okada ◽  
...  
Keyword(s):  
Young Patient ◽  
Stent Graft ◽  
Aortic Injury ◽  
Blunt Thoracic Aortic Injury ◽  
Abdominal Aortic ◽  
Thoracic Aortic Injury ◽  
Aortic Cuff

Posttraumatic Resuscitation Affects Stent Graft Sizing in Patients with Blunt Thoracic Aortic Injury

2016 ◽  
Vol 82 (1) ◽  
pp. 75-78 ◽  
Author(s):  
Jordan R. H. Hoffman ◽  
Ritam Chowdhury ◽  
Laura S. Johnson ◽  
Luke P. Brewster ◽  
Yazan Duwayri ◽  
...  
Keyword(s):  
Stent Graft ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Aortic Injury ◽  
Aortic Diameter ◽  
Related Complication ◽  
Blunt Thoracic Aortic Injury ◽  
Thoracic Aortic Injury ◽  
Study Population ◽  
Level I

Patients with blunt aortic injury often present to the emergency department in a relatively hypovolemic state. These patients undergo extensive inhospital resuscitation. The effect of posttraumatic resuscitation on aortic diameter has implications for stent graft sizing. The potential utility of repeat aortic imaging after resuscitation remains unclear. A retrospective chart review of all adult patients presenting to a Level I trauma center between the years 2007 and 2013 was performed. Fifty-three patients were identified with a diagnosis of traumatic aortic injury. Of those, 10 had 2 CT scans before aortic repair and were selected as the study population for analysis. After resuscitation, there was a significant increase in aortic diameter both proximal and distal to the aortic injury: proximal aortic diameter increase of 1.97 mm and distal aortic diameter increase of 1.48 mm. This retrospective study shows that after resuscitation, there is a significant increase in proximal and distal aortic diameter. Interval reimaging of the thoracic aorta may be beneficial after adequate stabilization of the patient's other injuries. In certain cases, more appropriate sizing may prevent a device-related complication.

scholarly journals Open stent graft repair with upper-half Sternotomy for blunt thoracic aortic injury: a case report

2017 ◽  
Vol 12 (1) ◽  
Author(s):  
Toshinori Komatsu ◽  
Tamaki Takano ◽  
Hiromu Kehara ◽  
Megumi Fuke ◽  
Takamitsu Terasaki ◽  
...  
Keyword(s):  
Case Report ◽  
Stent Graft ◽  
Aortic Injury ◽  
Blunt Thoracic Aortic Injury ◽  
Thoracic Aortic Injury ◽  
Stent Graft Repair ◽  
Open Stent

Blunt thoracic aortic injury: Open or stent graft repair?

Surgery ◽  
2008 ◽  
Vol 144 (4) ◽  
pp. 575-582 ◽  
Author(s):  
Brett H. Yamane ◽  
Girma Tefera ◽  
J.R. Hoch ◽  
W.D. Turnipseed ◽  
C.W. Acher
Keyword(s):  
Stent Graft ◽  
Aortic Injury ◽  
Blunt Thoracic Aortic Injury ◽  
Thoracic Aortic Injury ◽  
Stent Graft Repair

scholarly journals Aortic Healing Appears to Occur Rapidly After Stent Graft Placement for Blunt Thoracic Aortic Injury

2021 ◽  
Vol 74 (3) ◽  
pp. e44-e45
Author(s):  
Edvard Skripochnik ◽  
Thomas V. Bilfinger ◽  
Shang A. Loh
Keyword(s):  
Stent Graft ◽  
Aortic Injury ◽  
Graft Placement ◽  
Blunt Thoracic Aortic Injury ◽  
Thoracic Aortic Injury

Aortic stiffness and related complications after endovascular repair of blunt thoracic aortic injury in young patients

VASA ◽  
2020 ◽  
Vol 49 (4) ◽  
pp. 295-300 ◽  
Author(s):  
Akram Youssef ◽  
Igli Kalaja ◽  
Usama Alkomi ◽  
Tobias Abt ◽  
Ralf-Thorsten Hoffmann ◽  
...  
Keyword(s):  
Arterial Hypertension ◽  
Stent Graft ◽  
Aortic Stiffness ◽  
Young Patients ◽  
Cardiovascular Complications ◽  
Aortic Injury ◽  
Healthy Controls ◽  
Blunt Thoracic Aortic Injury ◽  
Thoracic Aortic Injury

Summary: Background: This study aimed to evaluate the changes in aortic stiffness in young patients undergoing thoracic endovascular aortic repair (TEVAR) after blunt thoracic aortic injury (TBAI) and to examine the associated cardiovascular complications during follow-up. Patients and methods: We included survivors of TBAI who underwent stent graft placement between November 2009 and November 2019 and gave their consent to participate. Patients with relevant cardiovascular risk factors, comorbidities with potential impact on arterial stiffness, and prior aortic surgical or endovascular interventions were excluded. Fourteen TEVAR patients prospectively underwent clinical and noninvasive examinations and morphological imaging (mean time of follow-up and duration of implanted stent graft: 5.3 ± 1.8 years; mean age: 35.1 ± 8.7 years) and were compared to 14 healthy controls (matched for sex, age, height, and body mass index) in order to evaluate aortic stiffness. During the follow-up examinations, we assessed the pulse wave velocity (PWV; m/s) and development of arterial hypertension or heart failure, as indicated by N-terminal pro-brain natriuretic peptide (NT-proBNP; pg/mL) levels and performed echocardiography. Results: A significant increase in PWV values was recorded in the TEVAR group (median = 10.1; interquartile range [IQR] = 8.9–11.6) compared to the healthy controls (median = 7.3; IQR = 6.7–8.4), with an increase in the rank mean PWV (+ 3.8; Mann-Whitney U test p < .001). NT-proBNP levels of patients after TEVAR did not vary significantly compared to those of healthy controls (Mann-Whitney U test, p = .154). After TEVAR, five patients developed arterial hypertension during the follow-up, and three of them exhibited diastolic dysfunction. Conclusions: In young patients, TEVAR after TBAI may cause adverse cardiovascular complications due to increased aortic stiffness; therefore, screening for arterial hypertension during follow-up is recommended.

Curved Nitinol Stent-Graft Placement for Treating Blunt Thoracic Aortic Injury: An Early Experience

2008 ◽  
Vol 86 (3) ◽  
pp. 780-786 ◽  
Author(s):  
Masato Yamaguchi ◽  
Koji Sugimoto ◽  
Takuro Tsukube ◽  
Takeki Mori ◽  
Toshihiro Kawahira ◽  
...  
Keyword(s):  
Stent Graft ◽  
Early Experience ◽  
Aortic Injury ◽  
Nitinol Stent ◽  
Graft Placement ◽  
Blunt Thoracic Aortic Injury ◽  
Thoracic Aortic Injury

scholarly journals Blunt Thoracic Aortic Injury: Open or Stent Graft Repair?

2009 ◽  
Vol 49 (4) ◽  
pp. 1083
Author(s):  
B.H. Yamane ◽  
G. Tefera ◽  
J.R. Hoch
Keyword(s):  
Stent Graft ◽  
Aortic Injury ◽  
Blunt Thoracic Aortic Injury ◽  
Thoracic Aortic Injury ◽  
Stent Graft Repair

Blunt Thoracic Aortic Injury and Acute Trauma: The Effect on Aortic Diameter and the Consequences for Stent-graft Sizing

2020 ◽  
Author(s):  
Samuel Cassidy ◽  
Kader Allouni ◽  
Christopher Day ◽  
David Wells ◽  
Arun Pherwani ◽  
...  
Keyword(s):  
Stent Graft ◽  
Aortic Injury ◽  
Aortic Diameter ◽  
Acute Trauma ◽  
Blunt Thoracic Aortic Injury ◽  
Thoracic Aortic Injury
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