SGW to Femoral triangle - Synthetic vs "autogenous"

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AMEN!! 

>>> <KMATTOX at aol.com> 8/9/2006 6:38 PM >>>

In a message dated 8/9/2006 5:34:48 P.M. Central Standard Time,  
vascular at ekit.com writes:

Are you  guys using more and
more Endovascular Stent Grafts in this population  ?  What is your gut
feeling about the results and durability  ?



We are using less and less.   Our skepticism is increasing.   I am 
discovering many in the literature and around the country are put into 
aortas that I do 
not see a real injury.   The smallest approved  thoracic aortic graft
is far 
too big for most young aortas.   Then a  problem of enfolding occurs.  

 
NO ONE SHOULD BE GETTING A THORACIC ENDOGRAFT PLACED FOR TRAUMA UNLESS
IT  IS 
PART OF A RIGID RESEARCH PROTOCOL WITH SOMEONE ON THE PROTOCOL WHO
REVIEWS  
EACH CASE AND WHO IS ALSO A SKEPTIC AND SOMEONE WHO IS A  CHAMPION.    
 
 
I am very very concerned about the use of these grafts in patients with
 
minimal to no injury.  
 
k
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