Endovascular Repair of a Blunt Abdominal Aortic Injury

Tobler, William D.; Tan, Tze‐Woei; Farber, Alik

doi:10.1055/s-0032-1315796

Cited by 10 publications

(14 citation statements)

References 20 publications

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“…Endovascular treatment has proven to be a successful advancement in the management of vascular trauma. Numerous case reports established the efficiency of endovascular management in blunt aortic injury since the first report of successful endovascular repair of a traumatic abdominal aortic dissection by Marty-Ane et al in 1996 [20][21][22][23][24][25][26].…”

Section: Discussionmentioning

confidence: 99%

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Aortic Seat Belt Syndrome, A Rare Abdominal Aortic Injury Managed with Endovascular Treatment: A Case Report and Literature Review

Alkoteesh¹,

Qureshi²,

Sa’a³

et al. 2016

Int J Radiol Med Imag

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Despite its low incidence, the mortality related to it remains high. Seat belt syndrome describes a spectrum of injuries related to the seat-belt use in occupants involved in motor vehicle collusions. These include blunt abdominal aortic injury, intra-abdominal and possibly spinal injuries. Though the eventual consequences may be catastrophic, the initial clinical presentation is frequently subtle. Therefore, prompt diagnostic workup and immediate management should be triggered whenever there is a clinical suspicion for such injuries. Owning to the substantial successful outcomes of endovascular treatment, we believe that it should be accessible to almost all hemodynamically stable patients in the appropriate sitting.We report a case of seat-belt syndrome with abdominal aortic intimal tear and dissection which was successfully managed with endovascular treatment.

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Section: Discussionmentioning

confidence: 99%

“…In review of the literature, it is devastating to realize that the mortality rate may reach up to 37% [21]. It is also essential to recognize the delayed diagnosis is a major predictive factor for morbidity even after treatment [3].…”

Section: Discussionmentioning

confidence: 99%

Aortic Seat Belt Syndrome, A Rare Abdominal Aortic Injury Managed with Endovascular Treatment: A Case Report and Literature Review

Alkoteesh¹,

Qureshi²,

Sa’a³

et al. 2016

Int J Radiol Med Imag

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“…Injuries of the abdominal aorta secondary to blunt trauma are rare; they are reported to occur in less than 1% of blunt traumas. 2,11 The most common inciting trauma is motor vehicle collisions. Seat belts in deceleration collisions can contribute to TAAI (“seat belt aorta”).…”

Section: Discussionmentioning

confidence: 99%

“…Endovascular repair of TAAI is safe and feasible if the patient does not require urgent abdominal exploration. 2 The following case outlines a patient who suffered blunt trauma resulting in a TAWH and an abdominal aortic pseudoaneurysm.…”

Section: Introductionmentioning

confidence: 99%

Abdominal wall hernia and aortic injury secondary to blunt trauma: Case report and review of the literature

Ballard

Kaskas

Jahromi

et al. 2014

International Journal of Surgery Case Reports

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“…Seat belts have since been upgraded to a three-point restraint, which results in fewer associated spinal injuries; and thus a new "seat belt lethal triad" has been described, which is made up of TAWH, hollow viscus injury, and abdominal vascular injury (4,41). Although injuries to the abdominal aorta are uncommon, occurring in less than 1% of blunt trauma cases, the mechanism for injury is the same as that causing TAWH; and thus a high index of suspicion should be maintained (44,45).…”

Section: Mechanism Of Injurymentioning

confidence: 99%

Don’t Forget the Abdominal Wall: Imaging Spectrum of Abdominal Wall Injuries after Nonpenetrating Trauma

et al. 2017

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Abdominal wall injuries occur in nearly one of 10 patients coming to the emergency department after nonpenetrating trauma. Injuries range from minor, such as abdominal wall contusion, to severe, such as abdominal wall rupture with evisceration of abdominal contents. Examples of specific injuries that can be detected at cross-sectional imaging include abdominal muscle strain, tear, or hematoma, including rectus sheath hematoma (RSH); traumatic abdominal wall hernia (TAWH); and Morel-Lavallée lesion (MLL) (closed degloving injury). These injuries are often overlooked clinically because of (a) a lack of findings at physical examination or (b) distraction by more-severe associated injuries. However, these injuries are important to detect because they are highly associated with potentially grave visceral and vascular injuries, such as aortic injury, and because their detection can lead to the diagnosis of these more clinically important grave traumatic injuries. Failure to make a timely diagnosis can result in delayed complications, such as bowel hernia with potential for obstruction or strangulation, or misdiagnosis of an abdominal wall neoplasm. Groin injuries, such as athletic pubalgia, and inferior costochondral injuries should also be considered in patients with abdominal pain after nonpenetrating trauma, because these conditions may manifest with referred abdominal pain and are often included within the field of view at cross-sectional abdominal imaging. Radiologists must recognize and report acute abdominal wall injuries and their associated intra-abdominal pathologic conditions to allow appropriate and timely treatment. RSNA, 2017.

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Endovascular Repair of a Blunt Abdominal Aortic Injury

Cited by 10 publications

References 20 publications

Aortic Seat Belt Syndrome, A Rare Abdominal Aortic Injury Managed with Endovascular Treatment: A Case Report and Literature Review

Aortic Seat Belt Syndrome, A Rare Abdominal Aortic Injury Managed with Endovascular Treatment: A Case Report and Literature Review

Abdominal wall hernia and aortic injury secondary to blunt trauma: Case report and review of the literature

Don’t Forget the Abdominal Wall: Imaging Spectrum of Abdominal Wall Injuries after Nonpenetrating Trauma

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