Traumatic aortic transections and stents

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Not sure, Karim, but I will let you al know more when I find out the details.  Should be a learning case for all of us.

>>> "Karim Brohi" <karimbrohi at gmail.com> 10/18/2007 11:36 AM >>>
Be interested to know what happened.  Was there an attempt at
ballooning the stent proximally? This can cause a proximal migration.
If the stent moves to the ascending aorta a snatch & grab aortotomy t&
retrieval hrough a sternotomy is in order.

Karim

On 18/10/2007, Ronald Gross <Rgross at harthosp.org> wrote:
> It did indeed migrate proximally, but I do not know the rest of the details.  I will know better after M&M..........
>
> >>> "Karim Brohi" <karimbrohi at gmail.com> 10/18/2007 10:55 AM >>>
> When did it migrate?  At the time of stenting or afterwards?  Early or
> late?  Proximal or distal migration (I'm assuming proximal if you say
> he's not doing well).  How was your stent sized?
>
> Karim
>
> On 18/10/2007, Ronald Gross <Rgross at harthosp.org> wrote:
> > That is why I was asking!  In fact, there was a transection, but unfortunately, the stent migrated.  He isn't doing very well, to say the least.
> >
> > >>> <KMATTOX at aol.com> 10/17/2007 8:06 AM >>>
> > 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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