Endovascular repair of traumatic aortic dissection: a single-center experience
The data on endovascular aortic repair (EVAR) for traumatic aortic dissection (TAD) are lacking. Hence, this study aimed to evaluate the efficacy of EVAR for TAD and report our experience based on patients from our medical center with a relatively long follow-up. A total of 25 consecutive patient...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
IMR Press
2021-09-01
|
| Series: | Reviews in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://rcm.imrpress.com/fileup/2153-8174/PDF/1632453107939-203030768.pdf |
| _version_ | 1818489992600616960 |
|---|---|
| author | Yingliang Wang Tongqiang Li Jiacheng Liu Qin Shi Chen Zhou Chongtu Yang Songjiang Huang Yang Chen Bin Xiong |
| author_facet | Yingliang Wang Tongqiang Li Jiacheng Liu Qin Shi Chen Zhou Chongtu Yang Songjiang Huang Yang Chen Bin Xiong |
| author_sort | Yingliang Wang |
| collection | DOAJ |
| description | The data on endovascular aortic repair (EVAR) for traumatic aortic dissection
(TAD) are lacking. Hence, this study aimed to evaluate the efficacy of EVAR for
TAD and report our experience based on patients from our medical center with a
relatively long follow-up. A total of 25 consecutive patients with TAD
underwent EVAR from October 2015 to October 2020. The demographics, imaging
characteristics, clinical features, treatment details, and follow-up results were
reviewed. Urgent EVAR was performed in 3 patients (12%), while the remaining 22
patients (88%) underwent delayed EVAR. Systematic heparinization was used in all
patients during the endovascular procedure. The EVAR was technically successful
in all patients, with no cases converted into open surgery. No death occurred
during the perioperative period. One patient presented with a type II endoleak on
postoperative 1-month CT images during a mean follow-up of 42.3 ± 17.7
months (5–67.5 months) and showed spontaneous regression of the endoleak without
any intervention during the subsequent follow-up. All the patients survived until
the time of writing, and none of them showed late endoleak, stent migration,
paraplegia, and reintervention. The patients with left subclavian artery covered
(n = 8) had no obvious ischemia of the arm and brain. The study results
demonstrated that EVAR for TAD proved to be safe and effective, and most patients
could undergo delayed EVAR. Systematically heparinization during EVAR under the
setting of multi-trauma was safe. |
| first_indexed | 2024-12-10T17:11:15Z |
| format | Article |
| id | doaj.art-00ef9139764e4743800d7a16f65565ca |
| institution | Directory Open Access Journal |
| issn | 2153-8174 |
| language | English |
| last_indexed | 2024-12-10T17:11:15Z |
| publishDate | 2021-09-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Reviews in Cardiovascular Medicine |
| spelling | doaj.art-00ef9139764e4743800d7a16f65565ca2022-12-22T01:40:19ZengIMR PressReviews in Cardiovascular Medicine2153-81742021-09-012231029103510.31083/j.rcm22031121632453107939-203030768Endovascular repair of traumatic aortic dissection: a single-center experienceYingliang Wang0Tongqiang Li1Jiacheng Liu2Qin Shi3Chen Zhou4Chongtu Yang5Songjiang Huang6Yang Chen7Bin Xiong8Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, ChinaDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, ChinaThe data on endovascular aortic repair (EVAR) for traumatic aortic dissection (TAD) are lacking. Hence, this study aimed to evaluate the efficacy of EVAR for TAD and report our experience based on patients from our medical center with a relatively long follow-up. A total of 25 consecutive patients with TAD underwent EVAR from October 2015 to October 2020. The demographics, imaging characteristics, clinical features, treatment details, and follow-up results were reviewed. Urgent EVAR was performed in 3 patients (12%), while the remaining 22 patients (88%) underwent delayed EVAR. Systematic heparinization was used in all patients during the endovascular procedure. The EVAR was technically successful in all patients, with no cases converted into open surgery. No death occurred during the perioperative period. One patient presented with a type II endoleak on postoperative 1-month CT images during a mean follow-up of 42.3 ± 17.7 months (5–67.5 months) and showed spontaneous regression of the endoleak without any intervention during the subsequent follow-up. All the patients survived until the time of writing, and none of them showed late endoleak, stent migration, paraplegia, and reintervention. The patients with left subclavian artery covered (n = 8) had no obvious ischemia of the arm and brain. The study results demonstrated that EVAR for TAD proved to be safe and effective, and most patients could undergo delayed EVAR. Systematically heparinization during EVAR under the setting of multi-trauma was safe.https://rcm.imrpress.com/fileup/2153-8174/PDF/1632453107939-203030768.pdfaortic dissectionendovascular aortic repairstenttrauma |
| spellingShingle | Yingliang Wang Tongqiang Li Jiacheng Liu Qin Shi Chen Zhou Chongtu Yang Songjiang Huang Yang Chen Bin Xiong Endovascular repair of traumatic aortic dissection: a single-center experience Reviews in Cardiovascular Medicine aortic dissection endovascular aortic repair stent trauma |
| title | Endovascular repair of traumatic aortic dissection: a single-center experience |
| title_full | Endovascular repair of traumatic aortic dissection: a single-center experience |
| title_fullStr | Endovascular repair of traumatic aortic dissection: a single-center experience |
| title_full_unstemmed | Endovascular repair of traumatic aortic dissection: a single-center experience |
| title_short | Endovascular repair of traumatic aortic dissection: a single-center experience |
| title_sort | endovascular repair of traumatic aortic dissection a single center experience |
| topic | aortic dissection endovascular aortic repair stent trauma |
| url | https://rcm.imrpress.com/fileup/2153-8174/PDF/1632453107939-203030768.pdf |
| work_keys_str_mv | AT yingliangwang endovascularrepairoftraumaticaorticdissectionasinglecenterexperience AT tongqiangli endovascularrepairoftraumaticaorticdissectionasinglecenterexperience AT jiachengliu endovascularrepairoftraumaticaorticdissectionasinglecenterexperience AT qinshi endovascularrepairoftraumaticaorticdissectionasinglecenterexperience AT chenzhou endovascularrepairoftraumaticaorticdissectionasinglecenterexperience AT chongtuyang endovascularrepairoftraumaticaorticdissectionasinglecenterexperience AT songjianghuang endovascularrepairoftraumaticaorticdissectionasinglecenterexperience AT yangchen endovascularrepairoftraumaticaorticdissectionasinglecenterexperience AT binxiong endovascularrepairoftraumaticaorticdissectionasinglecenterexperience |