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Endovascular Management of Traumatic Infrarenal Abdominal Aortic Dissection

Endovascular Management of Traumatic Infrarenal Abdominal Aortic Dissection Papers Presented at the Annual Meeting of the French Society for Vascular Surgery Endovascular Management of Traumatic Infrarenal Abdominal Aortic Dissection Eric Picard, MD, Charles-Henri Marty-Ane ´, MD, He ´le `ne Vernhet, MD, Carmine Sessa, MD, Alvian Lesnik, MD, Jean-Paul Senac, MD, and Henri Mary, MD, Montpellier, France Dissection is a recognized finding after blunt trauma to the abdominal aorta. Immediate and long-term prognosis is poor without surgical treatment especially since most patients present severe associated injuries. On the basis of encouraging results using endovascular techniques to treat experimental dissection of the descending thoracic aorta, we treated three patients with traumatic infrarenal abdominal aortic dissection by percutaneous stent placement. There were two men 34 and 41 years of age and one 89-year-old woman. In all patients, dissection began in the infrarenal portion of the aorta and extended into the iliac arteries. All patients had multiple associated injuries. The main symptoms were acute abdominal pain (two patients) and ischemia of the lower extremities (two patients). Diagnosis was missed in one patient despite exploratory laparotomy for an associated injury. Two patients were treated in the acute phase by placement of a self-expanding endovascular prosthesis at the aortoiliac level. The third patient http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Vascular Surgery Springer Journals

Endovascular Management of Traumatic Infrarenal Abdominal Aortic Dissection

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References (24)

Publisher
Springer Journals
Copyright
Copyright © 1998 by Annals of Vascular Surgery Inc.
Subject
Medicine & Public Health; Abdominal Surgery
ISSN
0890-5096
eISSN
1615-5947
DOI
10.1007/s100169900194
pmid
9841680
Publisher site
See Article on Publisher Site

Abstract

Papers Presented at the Annual Meeting of the French Society for Vascular Surgery Endovascular Management of Traumatic Infrarenal Abdominal Aortic Dissection Eric Picard, MD, Charles-Henri Marty-Ane ´, MD, He ´le `ne Vernhet, MD, Carmine Sessa, MD, Alvian Lesnik, MD, Jean-Paul Senac, MD, and Henri Mary, MD, Montpellier, France Dissection is a recognized finding after blunt trauma to the abdominal aorta. Immediate and long-term prognosis is poor without surgical treatment especially since most patients present severe associated injuries. On the basis of encouraging results using endovascular techniques to treat experimental dissection of the descending thoracic aorta, we treated three patients with traumatic infrarenal abdominal aortic dissection by percutaneous stent placement. There were two men 34 and 41 years of age and one 89-year-old woman. In all patients, dissection began in the infrarenal portion of the aorta and extended into the iliac arteries. All patients had multiple associated injuries. The main symptoms were acute abdominal pain (two patients) and ischemia of the lower extremities (two patients). Diagnosis was missed in one patient despite exploratory laparotomy for an associated injury. Two patients were treated in the acute phase by placement of a self-expanding endovascular prosthesis at the aortoiliac level. The third patient

Journal

Annals of Vascular Surgery – Springer Journals

Published: Jan 30, 2014

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