{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T06:13:35Z","timestamp":1760249615636,"version":"3.37.3"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2022,1,17]],"date-time":"2022-01-17T00:00:00Z","timestamp":1642377600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>To evaluate outcomes after thoracic endovascular aortic repair in young patients sustaining traumatic blunt aortic injury (BAI) using iliac extension stent-grafts because of small aortic diameters measuring &amp;lt;24\u2009mm.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Retrospective analysis regarding clinical presentation, trauma management, endovascular techniques and outcome of patients with a small descending aorta involving an iliac extension stent-graft to treat traumatic BAI.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Among 48 patients who suffered a BAI and underwent thoracic endovascular aortic repair, 7 received iliac extension stent-grafts. They were 27.4\/[standard deviation (SD): \u221213.1] years old and 6 out of 7 were male. The iliac extension stent-graft was used as distal stent-graft, and a thoracic stent-graft was used in most patients as proximal extension. We achieved overall technical success in all patients during a procedure lasting 92.6 (SD: 54.9) min. One patient died 2\u2009days after the endovascular procedure of hypoxic brain injury, and another died after 17\u2009days of liver failure. That patient had also suffered a spinal cord injury following the procedure, as the stent-graft had been deployed in Ishimaru Zone 2, and the carotid to subclavian bypass had to be omitted because of his critical condition. Control computed tomographic angiographs was available in 6 patients after 7.7 (SD: 5.1) days and showed no endoleak. The surviving patients were discharged after 18.4 (SD: 13.4) days.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Treating traumatic BAI using iliac extension stent-grafts in young patients with small aortic diameters is feasible. We observed no mortality caused by the BAI or related to endovascular therapy within this small patient cohort.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivab377","type":"journal-article","created":{"date-parts":[[2021,12,18]],"date-time":"2021-12-18T12:08:10Z","timestamp":1639829290000},"page":"885-891","source":"Crossref","is-referenced-by-count":2,"title":["Endovascular treatment of traumatic aortic rupture using iliac extension stent-grafts in patients with small aortic diameters"],"prefix":"10.1093","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7597-7778","authenticated-orcid":false,"given":"David","family":"Schibilsky","sequence":"first","affiliation":[{"name":"University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany"},{"name":"Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stoyan","family":"Kondov","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany"},{"name":"Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9716-3655","authenticated-orcid":false,"given":"Roman","family":"Gottardi","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany"},{"name":"Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian","family":"Kreibich","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany"},{"name":"Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cornelius","family":"Lehane","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Berger","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany"},{"name":"Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2975-2751","authenticated-orcid":false,"given":"Friedhelm","family":"Beyersdorf","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany"},{"name":"Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3305-9343","authenticated-orcid":false,"given":"Matthias","family":"Siepe","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany"},{"name":"Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Czerny","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany"},{"name":"Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bartosz","family":"Rylski","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg - Bad Krozingen, Freiburg, Germany"},{"name":"Faculty of Medicine, University of Freiburg, Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,1,17]]},"reference":[{"key":"2022050515320964200_ivab377-B1","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1097\/00005373-200108000-00021","article-title":"A statewide analysis of level I and II trauma centers for patients with major injuries","volume":"51","author":"Clancy","year":"2001","journal-title":"J Trauma"},{"key":"2022050515320964200_ivab377-B2","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/S1010-7940(01)01095-8","article-title":"The mechanism of injury in blunt traumatic rupture of the aorta","volume":"21","author":"Richens","year":"2002","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022050515320964200_ivab377-B3","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1016\/j.jvs.2007.08.031","article-title":"Reduced mortality, paraplegia, and stroke with stent graft repair of blunt aortic transections: a modern meta-analysis","volume":"47","author":"Tang","year":"2008","journal-title":"J Vasc Surg"},{"key":"2022050515320964200_ivab377-B4","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1016\/j.jvir.2008.05.012","article-title":"Endovascular stent-graft or open surgical repair for blunt thoracic aortic trauma: systematic review","volume":"19","author":"Hoffer","year":"2008","journal-title":"J Vasc Interv Radiol"},{"key":"2022050515320964200_ivab377-B5","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1016\/j.ejcts.2008.10.042","article-title":"Endovascular versus open repair for descending thoracic aortic rupture: institutional experience and meta-analysis","volume":"35","author":"Xenos","year":"2009","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022050515320964200_ivab377-B6","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1093\/ejcts\/ezt597","article-title":"Gender-related changes in aortic geometry throughout life","volume":"45","author":"Rylski","year":"2014","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022050515320964200_ivab377-B7","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1016\/j.jacc.2011.06.012","article-title":"Age-related changes in aortic arch geometry relationship with proximal aortic function and left ventricular mass and remodeling","volume":"58","author":"Redheuil","year":"2011","journal-title":"J Am Coll Cardiol"},{"key":"2022050515320964200_ivab377-B8","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1016\/j.jcmg.2008.08.002","article-title":"Aortic dimensions and stiffness in normal adults","volume":"1","author":"O'Rourke","year":"2008","journal-title":"JACC Cardiovasc Imaging"},{"key":"2022050515320964200_ivab377-B9","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1016\/j.jvs.2019.05.011","article-title":"A systematic review and meta-analysis of endovascular versus open surgical repair for the traumatic ruptured thoracic aorta","volume":"71","author":"Harky","year":"2020","journal-title":"J Vasc Surg"},{"key":"2022050515320964200_ivab377-B10","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1097\/00043860-200604000-00003","article-title":"The birth of advanced trauma life support","volume":"13","author":"Styner","year":"2006","journal-title":"J Trauma Nurs"},{"key":"2022050515320964200_ivab377-B11","doi-asserted-by":"crossref","first-page":"1809","DOI":"10.1016\/j.jvs.2019.01.065","article-title":"The role of heparin in endovascular repair of blunt thoracic aortic injury","volume":"70","author":"Kenel-Pierre","year":"2019","journal-title":"J Vasc Surg"},{"key":"2022050515320964200_ivab377-B12","article-title":"Diameter changes in traumatic aortic injury: implications for Stent-Graft sizing","author":"Berger","year":"2020","journal-title":"Thorac Cardiovasc Surg"}],"container-title":["Interactive CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/34\/5\/885\/43517573\/ivab377.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/34\/5\/885\/43517573\/ivab377.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T15:32:41Z","timestamp":1651764761000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/34\/5\/885\/6509358"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,17]]},"references-count":12,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2022,1,17]]},"published-print":{"date-parts":[[2022,5,2]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivab377","relation":{},"ISSN":["1569-9285"],"issn-type":[{"type":"electronic","value":"1569-9285"}],"subject":[],"published-other":{"date-parts":[[2022,5,1]]},"published":{"date-parts":[[2022,1,17]]}}}