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Traumatic aortic transections and stents

Karim Brohi karimbrohi at gmail.com
Wed Oct 17 14:35:26 BST 2007


Ken

Of course you need a lot more information than a single bad reformat
before proceeding.  However if it is as straight-forward as it looks
(few centimetres distal to the L subclavian), then I think now
stent-graft is the procedure of choice.  I would plan to cover the
subclavian.  Probably choose a Medtronic or Gore device for
conformability although this aorta does not look too kinked..

Karim

On 17/10/2007, KMATTOX at aol.com <KMATTOX at aol.com> wrote:
> I had looked at the ppt on my blackberry, now I have looked at it on my big
> computer.    I definitely would NOT proceed with a stent at this  point, for I
> could make a case that this is not an aortic  transection.    This particular
> cut leaves a lot to be desired  and raises more questions than it answers.
> Need better cuts or  an aortogram.
>
> BE CAREFUL.
>
> k
>
>
>
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