Stents for Traumatic Aortic Injury
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Percutaneous Balloon – Expandable covered stent implantation for treatment of traumatic aortic injury in children and adolescents. Goldsten BH, Hirsch RR, Zussman ME, et. al.; American Journal of Cardiology, 2012 Online publication: DOI 10.1016/j.amjcard.2012.06.063
The surgical treatment of acute traumatic aortic injury in children after blunt trauma is the standard of care.
Endovascular stent grafts have recently been used in adults, but not as commonly in children. While there are important limitations in children, the use of endovascular stent grafting for traumatic injury can be life saving.
The study reviewed six stent placements in four patients, which were technically successful in all attempts.
The patients had sustained severe extra-cardiac injuries and it was believed they were not stable enough for standard surgical repair. At follow up at 24 months there was one early death related to head trauma, and one patient who developed a recurrent aortic aneurysm that was treated with an additional stent.
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