Midterm results following endovascular repair of blunt thoracic aortic injuries

Christos Lioupis, Kent S. MacKenzie, Marc Michel Corriveau, Daniel I. Obrand, Cherrie Abraham, Oren K. Steinmetz

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objective: Previous studies have focused on early outcomes of thoracic endovascular repair (TEVAR) of blunt thoracic aortic injuries (BTAIs). Late results remain ill-defined. The purpose of this study is to review the midterm results of our experience with endovascular repair of BTAIs. Methods: A retrospective analysis was performed reviewing all endovascular repairs of BTAIs from 2002 to present. Preoperative, operative, and postoperative variables were recorded. Clinical end points included aortic-related mortality, stroke and paraplegia, hospital length of stay, procedure-related complications, endoleaks, and reinterventions. Computed tomography data sets were postprocessed for assessing integrity of stent grafts and late complications. Results: A total of 24 cases of BTAIs treated with TEVAR were identified. Thoracic endovascular repair was successful in treating BTAIs in all patients and there were no instances of procedure-related death, stroke, or paraplegia. One access complication occurred, requiring an iliofemoral bypass. Actuarial survival estimates and freedom from reintervention at 5 years were 88.7% and 95.8%, respectively. No late endoleaks, stent fractures, or device migration were identified. One patient required a secondary intervention 1 year following the initial repair to treat a pseudocoarctation syndrome caused by a diaphragm at the distal half of the stented aorta. This was treated successfully with repeated endografting. Conclusions: Thoracic endovascular repair for BTAIs can be performed safely with low periprocedural mortality and morbidity. Midterm follow-up data presented in this report further support the therapeutic role of endoluminal approach for treating BTAIs in anatomically suitable patients.

Original languageEnglish (US)
Pages (from-to)109-116
Number of pages8
JournalVascular and Endovascular Surgery
Volume46
Issue number2
DOIs
StatePublished - Feb 2012
Externally publishedYes

Fingerprint

Thoracic Injuries
Nonpenetrating Wounds
Thorax
Endoleak
Paraplegia
Stents
Length of Stay
Stroke
Mortality
Diaphragm
Aorta
Tomography
Morbidity
Transplants
Equipment and Supplies
Survival

Keywords

  • blunt thoracic aortic injuries
  • midterm results
  • thoracic endovascular repair

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Lioupis, C., MacKenzie, K. S., Corriveau, M. M., Obrand, D. I., Abraham, C., & Steinmetz, O. K. (2012). Midterm results following endovascular repair of blunt thoracic aortic injuries. Vascular and Endovascular Surgery, 46(2), 109-116. https://doi.org/10.1177/1538574411431648

Midterm results following endovascular repair of blunt thoracic aortic injuries. / Lioupis, Christos; MacKenzie, Kent S.; Corriveau, Marc Michel; Obrand, Daniel I.; Abraham, Cherrie; Steinmetz, Oren K.

In: Vascular and Endovascular Surgery, Vol. 46, No. 2, 02.2012, p. 109-116.

Research output: Contribution to journalArticle

Lioupis, C, MacKenzie, KS, Corriveau, MM, Obrand, DI, Abraham, C & Steinmetz, OK 2012, 'Midterm results following endovascular repair of blunt thoracic aortic injuries', Vascular and Endovascular Surgery, vol. 46, no. 2, pp. 109-116. https://doi.org/10.1177/1538574411431648
Lioupis, Christos ; MacKenzie, Kent S. ; Corriveau, Marc Michel ; Obrand, Daniel I. ; Abraham, Cherrie ; Steinmetz, Oren K. / Midterm results following endovascular repair of blunt thoracic aortic injuries. In: Vascular and Endovascular Surgery. 2012 ; Vol. 46, No. 2. pp. 109-116.
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