Journal of Vascular Surgery
Volume 45, Issue 3 , Pages 487-492 , March 2007

Twenty consecutive cases of endograft repair of traumatic aortic disruption: Lessons learned

Presented at the Twentieth Annual Meeting of the Eastern Vascular Society, Washington, DC, Sept 28-30, 2006.

  • David G. Neschis, MD

      Affiliations

    • Division of Vascular Surgery, University of Maryland Medical Center, Baltimore, Md
    • Corresponding Author InformationReprint requests: David G. Neschis, MD, Assistant Professor of Surgery, Division of Vascular Surgery, University of Maryland Medical Center, 22 S. Greene St, Room N4W66, Baltimore, MD 21201.
    • ,
  • Sina Moaine, MD

      Affiliations

    • Division of Cardiac Surgery, University of Maryland Medical Center, Baltimore, Md
    • ,
  • Rao Gutta, MD

      Affiliations

    • Division of Vascular Surgery, University of Maryland Medical Center, Baltimore, Md
    • ,
  • Kirk Charles, MD

      Affiliations

    • Division of Vascular Surgery, University of Maryland Medical Center, Baltimore, Md
    • ,
  • Thomas M. Scalea, MD

      Affiliations

    • R. Adams Cowley Shock Trauma Center, Baltimore, Md.
    • ,
  • William R. Flinn, MD

      Affiliations

    • Division of Vascular Surgery, University of Maryland Medical Center, Baltimore, Md
    • ,
  • Bartley P. Griffith, MD

      Affiliations

    • Division of Cardiac Surgery, University of Maryland Medical Center, Baltimore, Md

Received 9 October 2006 ,Accepted 15 November 2006.

References 

  1. Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg. 1991;5:491–499
  2. Volodos NL, Karpovich IP, Troyan VI, Kalashnikova Yu V, Shekhanin VE, Ternyuk NE, et al. Clinical experience of the use of self-fixing synthetic prostheses for remote endoprosthetics of the thoracic and the abdominal aorta and iliac arteries through the femoral artery and as intraoperative endoprosthesis for aorta reconstruction. Vasa Suppl. 1991;33:93–95
  3. Fabian TC, Richardson JD, Croce MA, Smith JS, Rodman G, Kearney PA, et al. Prospective study of blunt aortic injury: multicenter trial of the American Association for the Surgery of Trauma. J Trauma. 1997;42:374–380discussion 380-3
  4. Pierangeli A, Turinetto B, Galli R, Caldarera L, Fattori R, Gavelli G. Delayed treatment of isthmic aortic rupture. Cardiovasc Surg. 2000;8:280–283
  5. Gammie JS, Shah AS, Hattler BG, Kormos RL, Peitzman AB, Griffith BP, et al. Traumatic aortic rupture: diagnosis and management. Ann Thorac Surg. 1998;66:1295–1300
  6. Galli R, Pacini D, Di Bartolomeo R, Fattori R, Turinetto B, Grillone G, et al. Surgical indications and timing of repair of traumatic ruptures of the thoracic aorta. Ann Thorac Surg. 1998;65:461–464
  7. von Oppell UO, Dunne TT, De Groot MK, Zilla P. Traumatic aortic rupture: twenty-year meta-analysis of mortality and risk of paraplegia. Ann Thorac Surg. 1994;58:585–593
  8. Lachat M, Pfammatter T, Witzke H, Bernard E, Wolfensberger U, Kunzli A, et al. Acute traumatic aortic rupture: early stent-graft repair. Eur J Cardiothorac Surg. 2002;21:959–963
  9. Wellons ED, Milner R, Solis M, Levitt A, Rosenth LD. Stent-graft repair of traumatic thoracic aortic disruptions. J Vasc Surg. 2004;40:1095–1100
  10. Orend KH, Pamler R, Kapfer X, Liewald F, Gorich J, Sunder-Plassmann L. Endovascular repair of traumatic descending aortic transection. J Endovasc Ther. 2002;9:573–578
  11. Orford VP, Atkinson NR, Thomson K, Milne PY, Campbell WA, Roberts A, et al. Blunt traumatic aortic transection: the endovascular experience. Ann Thorac Surg. 2003;75:106–111discussion 111-2
  12. Daenen G, Maleux G, Daenens K, Fourneau I, Nevelsteen A. Thoracic aorta endoprosthesis: the final countdown for open surgery after traumatic aortic rupture?. Ann Vasc Surg. 2003;17:185–191
  13. Scheinert D, Krankenberg H, Schmidt A, Gummert JF, Nitzsche S, Scheinert S, et al. Endoluminal stent-graft placement for acute rupture of the descending thoracic aorta. Eur Heart J. 2004;25:694–700
  14. Karmy-Jones R, Hoffer E, Meissner MH, Nicholls S, Mattos M. Endovascular stent grafts and aortic rupture: a case series. J Trauma. 2003;55:805–810
  15. Rousseau H, Soula P, Perreault P, Bui B, Janne d’Othee B, Massabuau P, et al. Delayed treatment of traumatic rupture of the thoracic aorta with endoluminal covered stent. Circulation. 1999;99:498–504
  16. Marty-Ane CH, Berthet JP, Branchereau P, Mary H, Alric P. Endovascular repair for acute traumatic rupture of the thoracic aorta. Ann Thorac Surg. 2003;75:1803–1807
  17. Alric P, Berthet JP, Branchereau P, Veerapen R, Marty-Ane CH. Endovascular repair for acute rupture of the descending thoracic aorta. J Endovasc Ther. 2002;9(suppl 2):II51–II59
  18. Nio D, Vos PM, de Mol BA, Ponsen KJ, Reekers JA, Balm R. Emergency endovascular treatment of thoracic aortic rupture in three accident victims with multiple injuries. J Endovasc Ther. 2002;9(suppl 2):II60–II66
  19. Bruninx G, Wery D, Dubois E, El Nakadi B, Van Dueren E, Verhelst G, et al. Emergency endovascular treatment of an acute traumatic rupture of the thoracic aorta complicated by a distal low-flow syndrome. Cardiovasc Intervent Radiol. 1999;22:515–518
  20. Hance KA, Hsu J, Eskew T, Hermreck AS. Secondary aortoesophageal fistula after endoluminal exclusion because of thoracic aortic transection. J Vasc Surg. 2003;37:886–888
  21. Idu MM, Reekers JA, Balm R, Ponsen KJ, de Mol BA, Legemate DA. Collapse of a stent-graft following treatment of a traumatic thoracic aortic rupture. J Endovasc Ther. 2005;12:503–507
  22. Steinbauer MG, Stehr A, Pfister K, Herold T, Zorger N, Topel I, et al. Endovascular repair of proximal endograft collapse after treatment for thoracic aortic disease. J Vasc Surg. 2006;43:609–612
  23. Melnitchouk S, Pfammatter T, Kadner A, Dave H, Witzke H, Trentz O, et al. Emergency stent-graft placement for hemorrhage control in acute thoracic aortic rupture. Eur J Cardiothorac Surg. 2004;25:1032–1038
  24. Kasirajan K, Heffernan D, Langsfeld M. Acute thoracic aortic trauma: a comparison of endoluminal stent grafts with open repair and nonoperative management. Ann Vasc Surg. 2003;17:589–595
  25. Bortone AS, Schena S, D’Agostino D, Dialetto G, Paradiso V, Mannatrizio G, et al. Immediate versus delayed endovascular treatment of post-traumatic aortic pseudoaneurysms and type B dissections: retrospective analysis and premises to the upcoming European trial. Circulation. 2002;106:I234–I240
  26. Amabile P, Collart F, Gariboldi V, Rollet G, Bartoli JM, Piquet P. Surgical versus endovascular treatment of traumatic thoracic aortic rupture. J Vasc Surg. 2004;40:873–879
  27. Rousseau H, Dambrin C, Marcheix B, Richeux L, Mazerolles M, Cron C, et al. Acute traumatic aortic rupture: a comparison of surgical and stent-graft repair. J Thorac Cardiovasc Surg. 2005;129:1050–1055
  28. Neuhauser B, Czermak B, Jaschke W, Waldenberger P, Fraedrich G, Perkmann R. Stent-graft repair for acute traumatic thoracic aortic rupture. Am Surg. 2004;70:1039–1044
  29. Hoornweg LL, Dinkelman MK, Goslings JC, Reekers JA, Verhagen HJ, Verhoeven EL, et al. Endovascular management of traumatic ruptures of the thoracic aorta: a retrospective multicenter analysis of 28 cases in the Netherlands. J Vasc Surg. 2006;43:1096–1102discussion 1102
  30. Dunham MB, Zygun D, Petrasek P, Kortbeek JB, Karmy-Jones R, Moore RD. Endovascular stent grafts for acute blunt aortic injury. J Trauma. 2004;56:1173–1178
  31. Czermak BV, Fraedrich G, Perkmann R, Mallouhi A, Steingruber IE, Waldenberger P, et al. Endovascular repair of thoracic aortic disease: what we have learned. Curr Probl Diagn Radiol. 2004;33:269–282
  32. Ott MC, Stewart TC, Lawlor DK, Gray DK, Forbes TL. Management of blunt thoracic aortic injuries: endovascular stents versus open repair. J Trauma. 2004;56:565–570
  33. Morishita K, Kurimoto Y, Kawaharada N, Fukada J, Hachiro Y, Fujisawa Y, et al. Descending thoracic aortic rupture: role of endovascular stent-grafting. Ann Thorac Surg. 2004;78:1630–1634
  34. Uzieblo M, Sanchez LA, Rubin BG, Choi ET, Geraghty PJ, Flye MW, et al. Endovascular repair of traumatic descending thoracic aortic disruptions: should endovascular therapy become the gold standard?. Vasc Endovascular Surg. 2004;38:331–337
  35. Kato M, Yatsu S, Sato H, Kyo S. Endovascular stent-graft treatment for blunt aortic injury. Circ J. 2004;68:553–557
  36. Iannelli G, Piscione F, Di Tommaso L, Monaco M, Chiariello M, Spampinato N. Thoracic aortic emergencies: impact of endovascular surgery. Ann Thorac Surg. 2004;77:591–596
  37. Fattori R, Napoli G, Lovato L, Russo V, Pacini D, Pierangeli A, et al. Indications for, timing of, and results of catheter-based treatment of traumatic injury to the aorta. AJR Am J Roentgenol. 2002;179:603–609
  38. Czermak BV, Waldenberger P, Perkmann R, Rieger M, Steingruber IE, Mallouhi A, et al. Placement of endovascular stent-grafts for emergency treatment of acute disease of the descending thoracic aorta. AJR Am J Roentgenol. 2002;179:337–345
  39. Szwerc MF, Benckart DH, Lin JC, Johnnides CG, Magovern JA, Magovern GJ, et al. Recent clinical experience with left heart bypass using a centrifugal pump for repair of traumatic aortic transection. Ann Surg. 1999;230:484–490discussion 490-2
  40. Pate JW, Fabian TC, Walker W. Traumatic rupture of the aortic isthmus: an emergency?. World J Surg. 1995;19:119–125discussion 125-6

 Competition of interest: none.CME article

PII: S0741-5214(06)02091-X

doi: 10.1016/j.jvs.2006.11.038

Journal of Vascular Surgery
Volume 45, Issue 3 , Pages 487-492 , March 2007

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