Intraoperative TEE during TEVAR following blunt thoracic trauma: A case review

Daniel C. Stonko; Rebecca N. Treffalls; Jonathan J. Morrison; Justin Richards; David P. Stonko

doi:10.1016/j.avsurg.2023.100188

Intraoperative TEE during TEVAR following blunt thoracic trauma: A case review

Daniel C. Stonko^*, Rebecca N. Treffalls, Jonathan J. Morrison, Justin Richards, David P. Stonko

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Thoracic endovascular aortic repair (TEVAR) has become the most common strategy for management of traumatic aortic injury. Surgical planning and execution may involve several imaging modalities, including CT, fluoroscopy, and intravascular ultrasound (IVUS). This article describes the technique and successful intraoperative application of transesophageal echocardiogram (TEE) in TEVAR as an adjunct imaging modality to guide stent placement and deployment and evaluate pre- and post-TEVAR flow within an aortic pseudoaneurysm. When coupled with conventional techniques, including IVUS and fluoroscopy, this tool can be an important tool in the vascular surgeon's armamentarium for evaluating intraoperative anatomic questions related to TEVAR with little additional risk, cost, or increased operating time.

Original language	English
Article number	100188
Journal	Annals of Vascular Surgery - Brief Reports and Innovations
Volume	3
Issue number	2
DOIs	https://doi.org/10.1016/j.avsurg.2023.100188
State	Published - Jun 2023
Externally published	Yes

Keywords

Aortic injury
Echocardiography
Endovascular Surgery
TEE
TEVAR
Vascular trauma

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10.1016/j.avsurg.2023.100188

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title = "Intraoperative TEE during TEVAR following blunt thoracic trauma: A case review",

abstract = "Thoracic endovascular aortic repair (TEVAR) has become the most common strategy for management of traumatic aortic injury. Surgical planning and execution may involve several imaging modalities, including CT, fluoroscopy, and intravascular ultrasound (IVUS). This article describes the technique and successful intraoperative application of transesophageal echocardiogram (TEE) in TEVAR as an adjunct imaging modality to guide stent placement and deployment and evaluate pre- and post-TEVAR flow within an aortic pseudoaneurysm. When coupled with conventional techniques, including IVUS and fluoroscopy, this tool can be an important tool in the vascular surgeon's armamentarium for evaluating intraoperative anatomic questions related to TEVAR with little additional risk, cost, or increased operating time.",

keywords = "Aortic injury, Echocardiography, Endovascular Surgery, TEE, TEVAR, Vascular trauma",

author = "Stonko, {Daniel C.} and Treffalls, {Rebecca N.} and Morrison, {Jonathan J.} and Justin Richards and Stonko, {David P.}",

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year = "2023",

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doi = "10.1016/j.avsurg.2023.100188",

language = "English",

volume = "3",

journal = "Annals of Vascular Surgery - Brief Reports and Innovations",

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T1 - Intraoperative TEE during TEVAR following blunt thoracic trauma

T2 - A case review

AU - Stonko, Daniel C.

AU - Treffalls, Rebecca N.

AU - Morrison, Jonathan J.

AU - Richards, Justin

AU - Stonko, David P.

PY - 2023/6

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N2 - Thoracic endovascular aortic repair (TEVAR) has become the most common strategy for management of traumatic aortic injury. Surgical planning and execution may involve several imaging modalities, including CT, fluoroscopy, and intravascular ultrasound (IVUS). This article describes the technique and successful intraoperative application of transesophageal echocardiogram (TEE) in TEVAR as an adjunct imaging modality to guide stent placement and deployment and evaluate pre- and post-TEVAR flow within an aortic pseudoaneurysm. When coupled with conventional techniques, including IVUS and fluoroscopy, this tool can be an important tool in the vascular surgeon's armamentarium for evaluating intraoperative anatomic questions related to TEVAR with little additional risk, cost, or increased operating time.

AB - Thoracic endovascular aortic repair (TEVAR) has become the most common strategy for management of traumatic aortic injury. Surgical planning and execution may involve several imaging modalities, including CT, fluoroscopy, and intravascular ultrasound (IVUS). This article describes the technique and successful intraoperative application of transesophageal echocardiogram (TEE) in TEVAR as an adjunct imaging modality to guide stent placement and deployment and evaluate pre- and post-TEVAR flow within an aortic pseudoaneurysm. When coupled with conventional techniques, including IVUS and fluoroscopy, this tool can be an important tool in the vascular surgeon's armamentarium for evaluating intraoperative anatomic questions related to TEVAR with little additional risk, cost, or increased operating time.

KW - Aortic injury

KW - Echocardiography

KW - Endovascular Surgery

KW - TEE

KW - TEVAR

KW - Vascular trauma

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Intraoperative TEE during TEVAR following blunt thoracic trauma: A case review

Abstract

Keywords

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