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Balloon expandable covered stents as primary therapy for hemodynamically stable traumatic aortic injuries in children
Author(s) -
Hiremath Gurumurthy,
Morgan Gareth,
Kenny Damien,
Batlivala Sarosh P,
Bartakian Sergio
Publication year - 2020
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28575
Subject(s) - medicine , surgery , balloon , blunt , stent , pediatric trauma , retrospective cohort study , cutting balloon , poison control , injury prevention , restenosis , environmental health
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.