Balloon expandable covered stents as primary therapy for hemodynamically stable traumatic aortic injuries in children.

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  • Additional Information
    • Source:
      Publisher: Wiley-Liss Country of Publication: United States NLM ID: 100884139 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-726X (Electronic) Linking ISSN: 15221946 NLM ISO Abbreviation: Catheter Cardiovasc Interv Subsets: MEDLINE
    • Publication Information:
      Original Publication: New York, NY : Wiley-Liss, c1999-
    • Subject Terms:
      Hemodynamics* ; Stents*; Angioplasty, Balloon/*instrumentation ; Aorta/*injuries ; Thoracic Injuries/*therapy ; Vascular System Injuries/*therapy ; Wounds, Nonpenetrating/*therapy; Adolescent ; Age Factors ; Angioplasty, Balloon/adverse effects ; Aorta/diagnostic imaging ; Aorta/physiopathology ; Child ; Female ; Humans ; Male ; Prosthesis Design ; Retrospective Studies ; Risk Factors ; Thoracic Injuries/diagnostic imaging ; Thoracic Injuries/physiopathology ; Treatment Outcome ; United States ; Vascular System Injuries/diagnostic imaging ; Vascular System Injuries/physiopathology ; Wounds, Nonpenetrating/diagnostic imaging ; Wounds, Nonpenetrating/physiopathology
    • Abstract:
      Objectives: To expand on the limited available literature regarding the use of balloon expandable covered stents for the treatment of traumatic aortic injuries (TAI) in the pediatric population.
      Background: Although endovascular grafts have largely replaced surgery for TAI repair, there are significant limitations to the use of these grafts in pediatric patients.
      Methods: Multicenter, retrospective chart review of pediatric patients with TAI following blunt chest wall trauma. Procedural characteristics, follow-up, and reinterventions are described.
      Results: Six covered stents implanted in five patients. Median patient age was 12 years (11-13 years) and median weight 50 kg (44-54 kg). Procedural success was achieved in all cases. No procedural or postprocedural complications were noted. Median follow-up time was 24 months (11-36 months).
      Conclusions: Balloon expandable covered stent treatment of pediatric patients with TAI is a feasible alternative to open surgical repair, and preferred over endovascular grafts due to graft size limitations and the large delivery systems.
      (© 2019 Wiley Periodicals, Inc.)
    • Comments:
      Comment in: Catheter Cardiovasc Interv. 2020 Feb 15;95(3):484. (PMID: 32067377)
    • References:
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    • Contributed Indexing:
      Keywords: aneurysm; aorta; pediatric; stent; trauma
    • Publication Date:
      Date Created: 20191110 Date Completed: 20200928 Latest Revision: 20200928
    • Publication Date:
      20231215
    • Accession Number:
      10.1002/ccd.28575
    • Accession Number:
      31705789