TEVAR for traumatic thoracic injury with the first-generation stent graft

Giovanni Tinelli, MD, PhD; Fabrizio Minelli, MD; Simona Sica, MD; Francesca De Nigris, MD; Massimo Massetti, MD; Yamume Tshomba, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Mar 2021)

TEVAR for traumatic thoracic injury with the first-generation stent graft

Giovanni Tinelli, MD, PhD,
Fabrizio Minelli, MD,
Simona Sica, MD,
Francesca De Nigris, MD,
Massimo Massetti, MD,
Yamume Tshomba, MD

Affiliations

Giovanni Tinelli, MD, PhD: Unit of Vascular Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy; Correspondence: Giovanni Tinelli, MD, PhD, Unit of Vascular Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Largo Agostino Gemelli, 8, 00168 Rome, Italy
Fabrizio Minelli, MD: Unit of Vascular Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
Simona Sica, MD: Unit of Vascular Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
Francesca De Nigris, MD: Unit of Vascular Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
Massimo Massetti, MD: Unit of Cardiac Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
Yamume Tshomba, MD: Unit of Vascular Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy

Journal volume & issue: Vol. 7, no. 1
pp. 16 – 20

Abstract

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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.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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