Department of Radiology, Rangueil Hospital, Toulouse, France.
Cardiovasc Intervent Radiol. 2012 Feb;35(1):2-14. doi: 10.1007/s00270-011-0135-9. Epub 2011 Mar 26.
Stent graft has resulted in major advances in the treatment of trauma patients with blunt traumatic aortic injury (TAI) and has become the preferred method of treatment at many trauma centers. In this review, we provide an overview of the place of stent grafts for the management of this disease. As a whole, TEVAR repair of TAIs offers a survival advantage and reduction in major morbidity, including paraplegia, compared with open surgery. However, endovascular procedures in trauma require a sophisticated multidisciplinary and experienced team approach. More research and development of TAI-specific endograft devices is needed and large, multicenter studies will help to clarify the role of TEVAR compared with open repair of TAI.
覆膜支架在治疗钝性创伤性主动脉损伤（TAI）患者方面取得了重大进展，已成为许多创伤中心的首选治疗方法。在这篇综述中，我们概述了覆膜支架在治疗这种疾病中的作用。总的来说，与开放手术相比，TEVAR 修复 TAI 可提供生存优势并降低主要发病率，包括截瘫。然而，创伤的血管内治疗需要一个复杂的多学科和经验丰富的团队方法。需要对 TAI 专用的腔内移植物装置进行更多的研究和开发，大型多中心研究将有助于阐明 TEVAR 与 TAI 的开放修复相比的作用。
