Abstract
Background In blunt thoracic aortic injury, thoracic endovascular aortic repair (TEVAR) offers a less invasive alternative to open chest surgery. New reliable and accurate stent grafts have widened the endovascular treatment options. We report our experience with the Relay stent graft Bolton Medical, Sunrise, FL; Barcelona, Spain) for treatment of this injury. Methods Relay Endovascular Registry for Thoracic Disease (RESTORE) is a multicenter, prospective European registry, which enrolled patients treated with the Relay stent graft for thoracic aortic diseases from April 2005 to January 2009. Regular follow-up examinations were conducted for up to 24 months. This paper analyzes the cohort of patients treated for traumatic aortic injury. Results Forty adult trauma patients from 12 European centers underwent TEVAR. Mean age was 40 years and 34 patients were male. The proximal landing zone involved aortic arch zones 1 to 2 in 40% and zone 3 in 55% of procedures. Technical success was achieved in all cases. One (2.5%) patient suffered a rupture of the iliac artery. No patient developed procedure-related paraplegia or required conversion to open surgery. Follow-up imaging demonstrated complete exclusion of the traumatic tear and regression of the false aneurysms without endoleak or graft infolding. One late device-related complication was reported; penetration of the distal end of the stent graft treated by stent-graft extension. Thirty-day mortality was 2.5 % (n = 1), and late mortality 2.5% due to a secondary accident. Actuarial 2-year survival was 93.7%. Conclusions Thoracic endovascular aortic repair with the Relay stent graft is a safe and effective treatment for patients with traumatic aortic injury.
| Original language | English |
|---|---|
| Pages (from-to) | 774-780 |
| Number of pages | 7 |
| Journal | Annals of Thoracic Surgery |
| Volume | 97 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Mar 2014 |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
- Pulmonary and Respiratory Medicine
Cite this
Endovascular repair of traumatic thoracic aortic injury : Final results from the relay endovascular registry for thoracic disease. / Zipfel, Burkhart; Chiesa, Roberto; Kahlberg, Andrea; Marone, Enrico Maria; Rousseau, Herve; Kaskarelis, Ioannis; Riambau, Vincent; Coppi, Gioacchino; Ferro, Carlo; Sassi, Carlo; Esteban, Carlos; Mangialardi, Nicola; Tealdi, Domenico G.; Nano, Giovanni; Schoder, Maria; Funovics, Martin; Buz, Semih; Hetzer, Roland.
In: Annals of Thoracic Surgery, Vol. 97, No. 3, 03.2014, p. 774-780.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Endovascular repair of traumatic thoracic aortic injury
T2 - Final results from the relay endovascular registry for thoracic disease
AU - Zipfel, Burkhart
AU - Chiesa, Roberto
AU - Kahlberg, Andrea
AU - Marone, Enrico Maria
AU - Rousseau, Herve
AU - Kaskarelis, Ioannis
AU - Riambau, Vincent
AU - Coppi, Gioacchino
AU - Ferro, Carlo
AU - Sassi, Carlo
AU - Esteban, Carlos
AU - Mangialardi, Nicola
AU - Tealdi, Domenico G.
AU - Nano, Giovanni
AU - Schoder, Maria
AU - Funovics, Martin
AU - Buz, Semih
AU - Hetzer, Roland
PY - 2014/3
Y1 - 2014/3
N2 - Background In blunt thoracic aortic injury, thoracic endovascular aortic repair (TEVAR) offers a less invasive alternative to open chest surgery. New reliable and accurate stent grafts have widened the endovascular treatment options. We report our experience with the Relay stent graft Bolton Medical, Sunrise, FL; Barcelona, Spain) for treatment of this injury. Methods Relay Endovascular Registry for Thoracic Disease (RESTORE) is a multicenter, prospective European registry, which enrolled patients treated with the Relay stent graft for thoracic aortic diseases from April 2005 to January 2009. Regular follow-up examinations were conducted for up to 24 months. This paper analyzes the cohort of patients treated for traumatic aortic injury. Results Forty adult trauma patients from 12 European centers underwent TEVAR. Mean age was 40 years and 34 patients were male. The proximal landing zone involved aortic arch zones 1 to 2 in 40% and zone 3 in 55% of procedures. Technical success was achieved in all cases. One (2.5%) patient suffered a rupture of the iliac artery. No patient developed procedure-related paraplegia or required conversion to open surgery. Follow-up imaging demonstrated complete exclusion of the traumatic tear and regression of the false aneurysms without endoleak or graft infolding. One late device-related complication was reported; penetration of the distal end of the stent graft treated by stent-graft extension. Thirty-day mortality was 2.5 % (n = 1), and late mortality 2.5% due to a secondary accident. Actuarial 2-year survival was 93.7%. Conclusions Thoracic endovascular aortic repair with the Relay stent graft is a safe and effective treatment for patients with traumatic aortic injury.
AB - Background In blunt thoracic aortic injury, thoracic endovascular aortic repair (TEVAR) offers a less invasive alternative to open chest surgery. New reliable and accurate stent grafts have widened the endovascular treatment options. We report our experience with the Relay stent graft Bolton Medical, Sunrise, FL; Barcelona, Spain) for treatment of this injury. Methods Relay Endovascular Registry for Thoracic Disease (RESTORE) is a multicenter, prospective European registry, which enrolled patients treated with the Relay stent graft for thoracic aortic diseases from April 2005 to January 2009. Regular follow-up examinations were conducted for up to 24 months. This paper analyzes the cohort of patients treated for traumatic aortic injury. Results Forty adult trauma patients from 12 European centers underwent TEVAR. Mean age was 40 years and 34 patients were male. The proximal landing zone involved aortic arch zones 1 to 2 in 40% and zone 3 in 55% of procedures. Technical success was achieved in all cases. One (2.5%) patient suffered a rupture of the iliac artery. No patient developed procedure-related paraplegia or required conversion to open surgery. Follow-up imaging demonstrated complete exclusion of the traumatic tear and regression of the false aneurysms without endoleak or graft infolding. One late device-related complication was reported; penetration of the distal end of the stent graft treated by stent-graft extension. Thirty-day mortality was 2.5 % (n = 1), and late mortality 2.5% due to a secondary accident. Actuarial 2-year survival was 93.7%. Conclusions Thoracic endovascular aortic repair with the Relay stent graft is a safe and effective treatment for patients with traumatic aortic injury.
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UR - http://www.scopus.com/inward/citedby.url?scp=84896727765&partnerID=8YFLogxK
U2 - 10.1016/j.athoracsur.2013.09.034
DO - 10.1016/j.athoracsur.2013.09.034
M3 - Article
C2 - 24268748
AN - SCOPUS:84896727765
VL - 97
SP - 774
EP - 780
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 3
ER -