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Endovascular Repair of Blunt Aortic Trauma: A Multidisciplinary Approach and a Retrospective Multicenter Study
Ilenia Di Sario1, Enrico Franceschini1, Emanuele Gatta2
1Vascular Surgery Unit, Ospedale Giuseppe Mazzini, 64100 Teramo, Italy.
Journal of Clinical Medicine
|January 10, 2026
Summary
Endovascular repair effectively treats blunt traumatic thoracic aortic injury (BTAI), demonstrating high success rates and minimal complications. This approach offers a safe and viable option for patients with this severe condition.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Cardiovascular Imaging
Background:
- Blunt traumatic thoracic aortic injury (BTAI) is a rare, high-mortality condition from severe deceleration.
- Prompt diagnosis and management are critical for improving patient survival rates.
Purpose of the Study:
- To evaluate the safety and efficacy of endovascular repair for BTAI.
- To analyze outcomes and complications associated with thoracic endovascular aortic repair (TEVAR) in BTAI patients.
Main Methods:
- Retrospective analysis of 45 BTAI patients treated between 2007 and 2024.
- Thoracic endovascular aortic repair (TEVAR) using Gore TAG or Medtronic Valiant endografts.
- Perioperative management included controlled hypotension; left subclavian artery coverage was selectively performed.
Main Results:
- 100% procedural success with TEVAR, one type II endoleak.
- No perioperative complications or spinal cord ischemia observed.
- 30-day mortality was 9%, unrelated to the aortic injury itself.
Conclusions:
- Endovascular repair is a safe and effective treatment for BTAI.
- TEVAR offers excellent short-term outcomes for traumatic aortic injuries.
- Management requires tailoring to injury severity and patient factors, with attention to potential spinal cord ischemia.
