Outcome of endovascular treatment of traumatic aortic transection

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Outcome of endovascular treatment of traumatic aortic transection Johnny Steuer, MD, PhD, Anders Wanhainen, MD, PhD, Stefan Thelin, MD, PhD, Rickard Nyman, MD, PhD, Mats-Ola Eriksson, MD, Martin Björck, MD, PhD Journal of Vascular Surgery Volume 56, Issue 4, Pages 973-978 (October 2012) DOI: 10.1016/j.jvs.2012.03.259 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 A 27-year-old man with sudden onset of pseudocoarctation and ankle-brachial index of 0.5 3 months after thoracic endovascular aneurysm repair (TEVAR). Aortography demonstrated partial collapse of the proximal part of the stent graft at the origin of the left subclavian artery. The most expanded part of the stent graft is at the site of the aortic injury. Journal of Vascular Surgery 2012 56, 973-978DOI: (10.1016/j.jvs.2012.03.259) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 The collapse was managed by placement of a self-expandable sinus-XL stent (OptiMed, Ettlingen, Germany), followed by placing a Palmaz stent (Cordis Endovascular, Warren, NJ) proximally in order to be able to hold back the partial collapse. This resulted in complete restitution of the visceral and lower extremity circulation. Journal of Vascular Surgery 2012 56, 973-978DOI: (10.1016/j.jvs.2012.03.259) Copyright © 2012 Society for Vascular Surgery Terms and Conditions