E-ISSN: 1305-3612
Endovascular repair of thoracic and abdominal aortic ruptures: a single-center experience
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Interventional Radiology - Original Article
VOLUME: 20 ISSUE: 3
P: 259-266
May 2014

Endovascular repair of thoracic and abdominal aortic ruptures: a single-center experience

Diagn Interv Radiol 2014;20(3):259-266
DOI: 10.5152/dir.2013.13165
Filiz İslim, 1
Aysun Erbahçeci Salık, 1
Koray Güven, 2
Vedat Bakuy, 3
Zafer Çukurova 4
1. Department of Radiology, İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
2. Department of Radiology, İstanbul University Istanbul Faculty of Medicine, İstanbul, Turkey.
3. Department of Cardiovascular Surgery, İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
4. Department of Anesthesiology and Reanimation, İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
No information available.
No information available
Received Date: 22.04.2013
Accepted Date: 10.10.2013
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ABSTRACT

PURPOSE

We aimed to present our preliminary single-center experience of the endovascular management of thoracic and abdominal aortic ruptures.

MATERIALS AND METHODS

Between September 2010 and May 2012, 11 consecutive patients (nine males, two females; age range, 26–80 years) with thoracic and abdominal aortic ruptures underwent endovascular repair in our unit. Thoracoabdominal computed tomography (CT) angiography was performed for diagnosis and follow-up. Patients were selected for endovascular repair by a cardiovascular surgeon, anesthesiologist, and interventional radiologist. All repairs were performed using commercially available stent-grafts. The patients were followed up with CT angiography before discharge, at six months, and yearly thereafter.

RESULTS

Three patients died by day 30. One patient died due to an unsuccessful procedure and hemodynamic instability; two patients died because of comorbidities. The other eight patients were followed for six to 24 months after the procedure. No endoleaks or late ruptures were observed during the follow-up period. The patient with iatrogenic thoracic aortic rupture developed paraplegia after the procedure.

CONCLUSION

Reduced mortality due to aortic rupture has been reported with the expanding use of endovascular repair. Reports of small centers are important because of the rarity of these pathologies, and because transferring patients with aortic rupture to a referral center is not usually possible.