Late Stent Thrombosis in a Patient with Endovascular Aortic Repair for Blunt Thoracic Aortic Injury
Blunt thoracic aortic injury (BTAI) is associated with high mortality and morbidity. Thoracic endovascular aortic repair has become the recommended treatment modality given improved short-term results compared to open repair. We present a case of a 19-year-old male who presented with acute paralysis...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/5583120 |
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| author | Michael H. Chiu Youri Kaitoukov Amanda Roze des Ordons |
| author_facet | Michael H. Chiu Youri Kaitoukov Amanda Roze des Ordons |
| author_sort | Michael H. Chiu |
| collection | DOAJ |
| description | Blunt thoracic aortic injury (BTAI) is associated with high mortality and morbidity. Thoracic endovascular aortic repair has become the recommended treatment modality given improved short-term results compared to open repair. We present a case of a 19-year-old male who presented with acute paralysis and multiorgan dysfunction from acute TEVAR thrombosis. Systemic thrombolysis, catheter-directed thrombolysis followed by aspiration thrombectomy, and angioplasty were initially successful in restoring perfusion. However, he developed progressive multiorgan failure related to prompt reocclusion within 48 hours. This case is the first to describe thrombolysis and angioplasty as a management strategy for acute TEVAR thrombosis. We also review the literature surrounding this uncommon complication. |
| format | Article |
| id | doaj-art-9a9173d4322a400fb2195b24e02099b4 |
| institution | Kabale University |
| issn | 2090-6994 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-9a9173d4322a400fb2195b24e02099b42025-02-03T06:13:31ZengWileyCase Reports in Vascular Medicine2090-69942022-01-01202210.1155/2022/5583120Late Stent Thrombosis in a Patient with Endovascular Aortic Repair for Blunt Thoracic Aortic InjuryMichael H. Chiu0Youri Kaitoukov1Amanda Roze des Ordons2Department of Critical CareDepartment of RadiologyDepartment of Critical CareBlunt thoracic aortic injury (BTAI) is associated with high mortality and morbidity. Thoracic endovascular aortic repair has become the recommended treatment modality given improved short-term results compared to open repair. We present a case of a 19-year-old male who presented with acute paralysis and multiorgan dysfunction from acute TEVAR thrombosis. Systemic thrombolysis, catheter-directed thrombolysis followed by aspiration thrombectomy, and angioplasty were initially successful in restoring perfusion. However, he developed progressive multiorgan failure related to prompt reocclusion within 48 hours. This case is the first to describe thrombolysis and angioplasty as a management strategy for acute TEVAR thrombosis. We also review the literature surrounding this uncommon complication.http://dx.doi.org/10.1155/2022/5583120 |
| spellingShingle | Michael H. Chiu Youri Kaitoukov Amanda Roze des Ordons Late Stent Thrombosis in a Patient with Endovascular Aortic Repair for Blunt Thoracic Aortic Injury Case Reports in Vascular Medicine |
| title | Late Stent Thrombosis in a Patient with Endovascular Aortic Repair for Blunt Thoracic Aortic Injury |
| title_full | Late Stent Thrombosis in a Patient with Endovascular Aortic Repair for Blunt Thoracic Aortic Injury |
| title_fullStr | Late Stent Thrombosis in a Patient with Endovascular Aortic Repair for Blunt Thoracic Aortic Injury |
| title_full_unstemmed | Late Stent Thrombosis in a Patient with Endovascular Aortic Repair for Blunt Thoracic Aortic Injury |
| title_short | Late Stent Thrombosis in a Patient with Endovascular Aortic Repair for Blunt Thoracic Aortic Injury |
| title_sort | late stent thrombosis in a patient with endovascular aortic repair for blunt thoracic aortic injury |
| url | http://dx.doi.org/10.1155/2022/5583120 |
| work_keys_str_mv | AT michaelhchiu latestentthrombosisinapatientwithendovascularaorticrepairforbluntthoracicaorticinjury AT yourikaitoukov latestentthrombosisinapatientwithendovascularaorticrepairforbluntthoracicaorticinjury AT amandarozedesordons latestentthrombosisinapatientwithendovascularaorticrepairforbluntthoracicaorticinjury |