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Cardiovasc Intervent Radiol · Feb 2012
ReviewThe role of stent-grafts in the management of aortic trauma.
- Hervé Rousseau, Omar Elaassar, Bertrand Marcheix, Christophe Cron, Valérie Chabbert, Sophie Combelles, Camille Dambrin, Bertrand Leobon, Ramiro Moreno, Philippe Otal, and Julien Auriol.
- Department of Radiology, Rangueil Hospital, Toulouse, France. rousseau.h@chu-toulouse.fr
- Cardiovasc Intervent Radiol. 2012 Feb 1;35(1):2-14.
AbstractStent graft has resulted in major advances in the treatment of trauma patients with blunt traumatic aortic injury (TAI) and has become the preferred method of treatment at many trauma centers. In this review, we provide an overview of the place of stent grafts for the management of this disease. As a whole, TEVAR repair of TAIs offers a survival advantage and reduction in major morbidity, including paraplegia, compared with open surgery. However, endovascular procedures in trauma require a sophisticated multidisciplinary and experienced team approach. More research and development of TAI-specific endograft devices is needed and large, multicenter studies will help to clarify the role of TEVAR compared with open repair of TAI.
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