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This is a controversial area as subjecting a young patient to this technique is attractive, butthelong-termimplicationsoflifelongyearlyradiationexposureareunknown.Magnetic resonance imaging is particularly appealing in this younger group of patients because they require lifelong surveillance, for a longer duration, compared to stented aneurysm and dissection patients, thus the lack of radiation of this modality is highly attractive. Similarly the longevity of this new technology is undetermined. These young patients are still growing and corresponding have developing aortic diameters. Does growth have an effect on stentstabilityanddurability?Dostentsdegradeormigratewithtime?Theanswerstothese questions are awaited, but will not be available to us until long-term surveillance results from large series are available. Thus surveillance is necessary for this still relatively new technique. Lastly many series have found compliance with surveillance is poor in this young group of patients suffering traumatic transections, making data collection more difficult.3,16
This patient required a prolonged hospital stay due to her numerous multiple injuries and also for physical and psycho-social rehabilitation. For these reasons, this young group of patients need a multidisciplinary team input for their multiinjuries to provide a successful outcome.
Acknowledgments We would like to thank Dr. Nicos Fotiadis (Consultant Interventional Radiologist at Barts and The London NHS Trust) who provided the images for this chapter.
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Part III
Management of Chronic Ischemia
of the Lower Extremities