Ces radiol. 2008, 62(2):165-173

Endovascular repair of the isthmic aortic injury: one center experienceOriginal article

Milan Novák¹, Jiří Ferda¹, František Šlauf¹, Roman Bosman², Viktor Zlocha¹, Jiří Škorpil³, Vilém Kuntscher⁴, Jiří Moláček⁴, Vladislav Třeška⁴

¹ Radiodiagnostická klinika LF UK a FN, Plzeň

² Anesteziologicko-resuscitační klinika - Emergency LF UK a FN, Plzeň

³ Kardiochirurgické oddělení FN, Plzeň

⁴ Chirurgická klinika LF UK a FN, Plzeň

Aim: The isthmic injury of the thoracic aorta reaches very high mortality; the aim of the presented study is the evaluation of our own one-center experience with endovascular isthmic injury repair.

Method: Eleven patients (mean age 41 years, range 18-67 y, nine men, two women) underwent the endovascular implantation of the tubular stent-graft. The implantation delayed after trauma 3 hours to 20 days, stent-graft was implanted in seven patients within 24 hours. All examinations were performed after whole body multidetector-row computed tomography with detection of the aortic tear.

Results: Immediately, the technical success was 100%. The overall 30 days mortality was 18% (2/11), deaths were caused by ischemia of the abdominal viscera due to abdominal aortic dissection with involvement of visceral branches, second due to severe cerebral trauma.

Conclusion: Endovascular repair of the aortic blunt trauma is technically safe procedure. In our cohort, overall mortality was heavily depended on the other injuries especially cerebral trauma.

Keywords: aortic injury, aortic transsection, polytrauma, endovascular repair

Grants and funding:

Práce byla podpořena výzkumným projektem MSM 0021620819.

Accepted: March 31, 2008; Published: June 1, 2008  Show citation