Tinelli G, Minelli F, Sica S, De Nigris F, Massetti M, Tshomba Y. TEVAR for traumatic thoracic injury with the first-generation stent graft.
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES 2020;
7:16-20. [PMID:
33665525 PMCID:
PMC7903297 DOI:
10.1016/j.jvscit.2020.08.035]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 08/27/2020] [Indexed: 11/30/2022]
Abstract
Thoracic endovascular aortic repair (TEVAR) is a life-saving treatment for blunt thoracic aortic injury. We report long-term outcomes of two young patients who underwent TEVAR for blunt thoracic aortic injury with first-generation thoracic stent grafts. The off-label use of the endograft affected the outcomes: one case of open surgery conversion due to an aortoesophageal fistula and one case of endovascular relining for a voluminous pseudoaneurysm associated with a type III endoleak. Long-term follow-up is crucial in TEVAR, especially in case of a first-generation device used in an urgent setting.
Collapse