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[胸主动脉创伤性病变的血管内治疗。我们的经验]

[Endovascular treatment of traumatic lesions of thoracic aorta. Our experience].

作者信息

Angelini Romeo, Mannetta Cristian, Liddo Guido, Spigonardo Francesco

机构信息

U.O.S. di Traumatologia Vascolare, Ospedale Clinicizzato S.S. Annunziata di Chieti.

出版信息

Ann Ital Chir. 2007 Sep-Oct;78(5):427-31.

Abstract

OBJECTIVES

To report our experience with endovascular repair of descending thoracic aorta in patients with acute and chronic traumatic lesions due to blunt chest trauma in last 4 years.

MATERIAL AND METHODS

From January 2002 to September 2006, 5 patients underwent endovascular repair of descending thoracic aorta for acute (3 cases) and chronic (2 cases) traumatic lesions due to road traffic accidents (motorcycle crash: 1; car crash: 4).

RESULTS

Stent-graft placement was successful in all cases with good early outcomes and without late complications (follow up 3-48 months).

CONCLUSION

Endovascular repair of descending thoracic aorta lesions, due to blunt chest trauma, is a feasible and valid alternative to conventional open operation.

摘要

目的

报告我们在过去4年中对因钝性胸部创伤导致的急性和慢性创伤性病变患者进行胸降主动脉腔内修复的经验。

材料与方法

2002年1月至2006年9月,5例患者因道路交通事故(摩托车碰撞:1例;汽车碰撞:4例)导致的急性(3例)和慢性(2例)创伤性病变接受了胸降主动脉腔内修复。

结果

所有病例支架移植物置入均成功,早期效果良好,无晚期并发症(随访3 - 48个月)。

结论

对于钝性胸部创伤导致的胸降主动脉病变,腔内修复是传统开放手术可行且有效的替代方法。

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