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Endovascular Management of Thoracic Aortic Trauma

  • Ludovic Canaud,
  • Pierre Alric

摘要

Thoracic aortic trauma is a life-threatening condition that requires prompt and effective management to prevent catastrophic consequences. Over the years, endovascular techniques have revolutionized the management of thoracic aortic trauma, offering minimally invasive alternatives to open surgical repair. This abstract provides an overview of the endovascular management strategies employed for thoracic aortic trauma. It discusses the role of thoracic endovascular aortic repair (TEVAR) as the primary intervention, which involves the placement of a stent graft to exclude the injured segment of the aorta. The abstract highlights the importance of patient selection, preoperative imaging, and procedural planning in ensuring successful outcomes. It also addresses the specific considerations for traumatic aortic injuries, such as the presence of associated injuries, the need for rapid stabilization, and the potential complications associated with endovascular interventions. Additionally, the abstract touches upon emerging technologies and adjunctive techniques, including balloon-assisted tracking, fenestrated and branched stent grafts, and endovascular resuscitation strategies. By understanding the nuances of endovascular management for thoracic aortic trauma, healthcare professionals can make informed decisions, optimize patient care, and improve survival rates in this critical condition.