Related Experiment Video
Updated: May 25, 2026
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Endovascular repair of traumatic thoracic aortic tears
M Ashraf Mansour1, Jeffrey S Kirk, Robert F Cuff
1Department of Surgery, Spectrum Health Medical Group, Grand Rapids, MI 49546-8816, USA. Ashraf.mansour@spectrum-health.org
Background:
Patients with thoracic aorta injuries (TAI) present a unique challenge. The purpose of this study was to review the outcomes of thoracic endovascular aortic repair (TEVAR) in patients with TAI.
Methods:
A retrospective chart review of all patients admitted for TEVAR for trauma was performed.
Results:
In a 5-year period, 19 patients (6 women and 13 men; average age, 42 y) were admitted to our trauma center with TAI. Mechanism of injury was a motor vehicle crash in 12 patients, motorcycle crash in 2 patients, automobile-pedestrian accident in 2 patients, 1 fall, 1 crush injury, and 1 stab wound to the back. A thoracic endograft was used in 6 patients and proximal aortic cuffs were used in 13 patients (68%). One patient (5%) died. There were no strokes, myocardial infarctions, paraplegia, or renal failure.
Conclusions:
TEVAR for TAI appears to be a safe option for patients with multiple injuries. TEVAR in young patients is still controversial because long-term endograft behavior is unknown.
