Key result
Talent stent-graft successfully repairs a collapsed Gore TAG prosthesis with no endoleak at 6 months.
Why the study?
Collapse of stent-grafts can occur after treatment for traumatic aortic ruptures, but reports on management are limited.
Can endovascular methods be used to treat a collapsed stent-graft following treatment of a traumatic thoracic aortic rupture?
Case Report (n=1)
Can endovascular methods be used to treat a collapsed stent-graft following treatment of a traumatic thoracic aortic rupture?
Endovascular placement of a second stent-graft can successfully treat the collapse of an initial stent-graft used for traumatic aortic rupture.
Answers are grounded in this paper and cite their sources.
Endovascular relining may salvage collapsed thoracic stent-grafts after trauma; single case leaves open durability, safety, and generalizability.
PURPOSE: To report a collapsed stent-graft used to treat a traumatic aortic rupture. CASE REPORT: A Gore TAG stent-graft was placed in a 20-year-old man with multiple injuries. Postimplantation computed tomographic angiography (CTA) demonstrated no contrast extravasation and total exclusion of the traumatic rupture. Routine CTA 3 months after implantation revealed a collapsed stent-graft located in the outer curve of the distal aortic arch. A Talent stent-graft was placed successfully within the collapsed prosthesis. Postimplantation CTA demonstrated no contrast extravasation and good apposition of the endograft to the aortic wall. At 6 months, the repair remains secure; there is no sign of graft collapse or endoleak. CONCLUSIONS: Collapse of stent-grafts can occur after treatment for traumatic aortic ruptures; endovascular methods can be used to restore a satisfactory luminal contour.
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Idu et al. (2005) conducted a case report in Traumatic aortic rupture (n=1). Gore TAG stent-graft and subsequent Talent stent-graft was evaluated on Stent-graft collapse and subsequent repair success. A collapsed Gore TAG stent-graft used to treat a traumatic aortic rupture was successfully repaired using a Talent stent-graft placed within the collapsed prosthesis, with no endoleak at 6 months.
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