[Endovascular treatment of 4 patients with a traumatic rupture of the thoracic aorta]

Autor: M K, Dinkelman, L P, Leenen, H J, Verhagen, J D, Blankensteijn
Jazyk: Dutch; Flemish
Rok vydání: 2003
Předmět:
Zdroj: Nederlands tijdschrift voor geneeskunde. 147(46)
ISSN: 0028-2162
Popis: To present our initial results with the endovascular treatment of traumatic rupture of the thoracic aorta.Retrospective.Between April and October, 2002, 4 men between the ages of 22 and 46 were treated endovascularly for a traumatic rupture of the thoracic aorta. The diagnosis 'rupture of the thoracic aorta' was made on the basis of CT-angiography in all cases. In the first case, a thoracic Gore TAG-endoprosthesis (GoreAssociates; Den Bosch) was used, and in 3 cases a Talent-endoprosthesis (Medtronic AVG; Heerlen).There was an average of 2.5 days (limits: 0-5 days) between admission and the placement of the endoprosthesis. There was one intra-operative complication in the form of a dissection of the right femoral artery when the endoprosthesis was inserted. In 3 cases, the left subclavian artery was occluded by the prosthesis. This had no negative consequences for the patients during the follow-up period (limits: 4-12 months). The CT-angiogram taken 3 months after the operation consistently showed a good position of the endoprosthesis with no signs of leakage.For a limited follow-up period, the endovascular treatment of a traumatic rupture of the thoracic aorta has been shown to be safe and effective. The long term results must be awaited.
Databáze: OpenAIRE