Engineering Papers⌕ Search

SEARCH · Engineering Papers

Results for “Repair”

Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,693 records · Page 94

Evaluating Opportunities for a Circular Economy: An Investigation of Economic and Decision-Making Factors Underlying Recycling, Reusing and Remanufacturing Habits in U.S. Consumers and Manufacturers

Aluminum is increasingly used in consumer products and in lightweighting applications for airplanes, passenger cars and other vehicles. However, smelting primary aluminum is an energy-intensive process, and advanced low-energy smelting technologies have not yet been successfully scaled up to commercial production. Another way to reduce energy consumption associated with aluminum use is to increase the amount of secondary aluminum (recovered from manufacturing scrap and from recycled products) used as a raw material, thereby increasing the circularity of aluminum flows. This too has proven difficult due to the relatively low rates of recycling for most aluminum-containing products in the U.S., and the inevitable alloy mixing that occurs when end-of-life products are broken down during recycling. We previously investigated strategies for increasing secondary aluminum use, within limitations imposed by the presence of alloying elements and alloy requirements for new products. In this work, we provide context and assess the feasibility of those strategies by investigating established patterns and attitudes around recycling, remanufacturing, and other methods that promote circular material flows. Our objective is to identify technological, logistical, economic, and other barriers that exist to implementing such methods in aluminum-intensive sectors. A secondary objective is to construct a hypothetical blue-sky scenario in which aluminum use in the U.S. approaches a fully circular material flow. The blue-sky scenario allows us to identify future barriers to increasing material flow circularity and to gauge the scenario's attainability relative to current industrial practice. Our focus goes beyond recycling, in which an end-of-life product is disassembled, processed, and then separated into its component materials which serve as inputs for new products. While common in the U.S. and globally, this type of recycling involves non-trivial energy expenditures in the scrapping and processing stages and leads to impure streams of mixed secondary materials that may not be feasible or economical to use. We also consider consumer and manufacturer practices including refurbishing, remanufacturing, repair and reuse. None of these practices require that products are broken down into separate material streams before reconstitution into new products; the energy requirements are therefore lower, and the secondary components potentially easier and more economical to use. We evaluate each of these methods in terms of their economic viability for the consumer, the (re-)manufacturing firm and the scrapping and recycling firm. We also investigate barriers to and drivers of these circular practices, with particular attention paid to consumer attitudes. Initial research indicates that for consumer recycling, convenience of the recycling system is of paramount importance, with pre-existing attitudes towards recycling on a personal and community level almost as important. On the manufacturer side, a variety of logistical and economic barriers exist to instituting widespread product take-back and refurbishment programs. To better understand these barriers and how they can be overcome, we investigate several U.S. manufacturers that currently operate take-back, refurbishment and repair programs for their products, and conduct a review of similar programs in European countries where such programs are mandated by law rather than being conducted voluntarily.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Economically efficient operation of a power generator

A method of operating a power generator comprises receiving, a fault code corresponding to an operating condition of the power generator being outside of an acceptable range. A generator controller determines a cost of increased maintenance or repairing damage associated with overriding the fault code and maintaining existing power output from the power generator through the operating condition. A cost of a utility fine or contractual penalty associated with shutting down the power generator is determined in response to the fault code. The generator controller compares the cost of the utility fine or contractual penalty associated with shutting down the power generator with the cost of increased maintenance or damage repair to the power generator associated with overriding the fault code and maintaining existing power output through the operating condition. In response to the comparing, the fault code is overridden continuing operation of the power generator.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Failure Evaluation of Savannah River Site High-Level Waste Evaporator 242-25H - Part I - 17366

(25H) in February 2016. Part I discusses the physical investigation to determine the nature and location of the leak site. Part II separately discusses the analytical work to determine the most plausible failure modes. The following investigation methods have been used to aid in determining the leak location: - Remote visual inspection: using remote cameras, inspection of both the inside of the evaporator pot and the evaporator cell, to see if leak locations are visible. Also, inspect the stainless steel insulation jacket for visible leakage. - Leak level check: filling the evaporator pot with flush water to determine at what elevation the pot stops leaking. - Enhanced remote visual inspection: utilizing dye penetrant on the inside of the evaporator pot, attempting to see if any defects in the primary containment are visible. - Grey Qb Gamma camera survey: to look for high radiation areas in the insulation of the evaporator pot. Parallel efforts are underway to develop a strategy for remotely removing the evaporator stainless steel lagging and insulation, locating the specific leak site and developing a repair method; and repairing the leak site if practicable. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Waste Retrieval and Inspection Operations in Hanford Tank 241-AY-102 - 18234

In August 2012, a periodic annulus inspection of tank 241-AY-102 (AY-102) identified a leak from the primary tank into the secondary containment. A pumping plan was developed in 2013 to provide a path forward for recommended remediation actions to be implemented as part of the AY-102 Recovery Project. On March 21, 2014, the Washington State Department of Ecology issued an Administrative Order requiring Washington River Protection Solutions and the United States Department of Energy to conduct actions related to and including the removal of waste from AY-102. The parties agreed to resolve the appeal of the Administrative Order through a Settlement Agreement which addressed the remaining requirements and implemented enforceable milestone dates, including completion of waste removal operations, and performance of an inspection aimed at determining the cause of the leak. The AY-102 Recovery Project was developed to address the Settlement Agreement requirements. While retrieval of waste from Single-Shell Tanks has been performed at Hanford for decades, retrieval from Double-Shell Tank AY-102 required adaptation of the existing technologies to a new environment on a larger scale than previously encountered. Despite countless challenges and obstacles encountered throughout, the project successfully completed system design, fabrication, installation, testing, and retrieval operations within a highly compressed, aggressive schedule. Waste removal activities in AY-102 completed in February 2017. Subsequent inspection activities were completed as part of a multi-step process aimed at determining the likely cause of failure and assessing the feasibility of repair. A variety of input data were used in evaluating the likely failure mechanism, such as video examinations that revealed numerous through-floor penetrations and significant degradation across the visible surface area. Based on the operational history of the tank, corrosion testing and analysis, and the visual appearance of the confirmed leak sites, service-induced pitting corrosion due to the historic waste composition and operating conditions appears to be the primary degradation mechanism leading to failure of the tank. The inspection data has demonstrated that repairing and returning AY-102 to service would likely introduce substantial technical, logistical, and financial challenges due to the extent of bottom-plate damage. As a result, tank AY-102 will ultimately be closed. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Factors Affecting the Service-life of HDPE Geomembranes in an LLW Disposal Facility - 19320

The assessment of a suitable maximum allowable strain (MAS) for high density polyethylene (HDPE) geomembranes (GMBs) considered suitable for a proposed low level radioactive waste engineered containment mound with a 550-year design-life is described in the context of the available literature and data in 2018. Consideration is given to both the material properties and the factors contributing to the development of sustained tensile strain in the GMB. The assessment is based on the service-life of the GMB eventually being reached due to stress cracking after depletion of the protective antioxidants to a residual value. With respect to the selection of a GMB with a suitable stress crack resistance (SCR), it is noted that morphological changes can result in a substantial reduction in SCR with time, from the initial just manufactured value (SCRo) to a more representative value (SCRm), as the material tends to a thermodynamically more stable post-manufactured state. Thus, SCRm should be considered more representative of the true SCR of the material than the value obtained from the off-roll material just after manufacture. SCRm of can be estimated by aging the candidate GMBs in liquid at 55 deg. C for 270 days. Considering the potential implications of failure of the textured GMB to be used at this facility, and the potential for repair and replacement if it does fail, it is recommended that a maximum allowable strain (MAS), from all sources, of 3%, 4% and 5% be adopted on the base, side slopes, and cover GMBs, respectively. These maximum allowable strain values were selected considering the nature of the waste to be contained and the design-life that is required; they may be too conservative for some other applications with a much shorter design-life or lower consequence of premature failure. It is also indicated that the most critical locations on the GMB are often the welded seams where GMB panels are joined or repaired. Welds act a stress-raisers (increasing the stress and strain the GMB compared to that on either side of the weld). To minimize the need for patching areas damaged by the removal of samples for destructive tests, it is recommended that destructive tests on welds should generally be restricted to the minimum possible. It is also recommended that the German limits on welded GMB thickness be adopted in construction. Since strains can be significantly increased by failure to construct in accordance with the design drawings and specifications, it is recommended that there be Construction Quality Assurance (CQA) by very experienced personnel with a good knowledge of compacted clay liners, Geosynthetic Clay Liners (GCLs), and GMBs and the facility design, and that there be an experienced individual watching the construction work at all times prior to completion of the liner system. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

A Flaw Stability Analysis for the Savannah River Site 3H High-Level-Waste Evaporator - 19548

The Savannah River Site (SRS) 3H high-level-waste Evaporator (242-25H) entered service in January 2000 and was discovered to be leaking in February 2016. It was robotically repaired and resumed operation in July 2018. During initial restart in December 2017, salt deposits were discovered on the evaporator's lower shell near welds, indicating two more small leak sites. The leak sites have an estimated hydraulic diameter of about 0.1 mm or less - about the diameter of a human hair. The estimated leak rates are about a factor of 10,000 smaller than the robotically repaired leak. An API 579-1/ASME FFS-1 fitness-for-service evaluation determined that if the leak sites are cracks, then they would need to be about 60 mm long (∼ 2 inches) to actively and catastrophically grow. Furthermore, a crack of this length would have been detected earlier since it would leak thousands of liters per day. The evaporator was designed with engineered features that minimize risks posed by these small leaks. The path-forward involves operating the evaporator in a deliberate manner with enhanced surveillance. The 3H Evaporator is key to SRS safely and timely reducing its 130 million liter liquid high-level-waste inventory, closing remaining waste tanks, and reducing associated risks to workers, the public, and the environment. (author)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Biochemical and structural characterization of two variants of uncertain significance in the PMS2 gene

Lynch syndrome (LS) is an autosomal dominant inherited disorder that is associated with an increased predisposition to certain cancers caused by loss-of-function mutations in one of four DNA mismatch repair (MMR) genes (MLH1, MSH2, MSH6, or PMS2). The diagnosis of LS is often challenged by the identification of missense mutations where the functional effects are not known. These are termed variants of uncertain significance (VUSs) and account for 20%–30% of noncoding and missense mutations. VUSs cause ambiguity during clinical diagnosis and hinder implementation of appropriate medical management. In this work, we focus on the functional and biological consequences of two nonsynonymous VUSs in PMS2. These variants, c.620G>A and c.123_131delGTTAGTAGA, result in the alteration of glycine 207 to glutamate (p.Gly207Glu) and the deletion of amino acid residues 42–44 (p.Leu42_Glu44del), respectively. While the PMS2 p.Gly207Glu variant retains in vitro MMR and ATPase activities, PMS2 p.Leu42_Glu44del appears to lack such capabilities. Structural and biophysical characterization using circular dichroism, small-angle X-ray scattering, and X-ray crystallography of the N-terminal domain of the PMS2 variants indicate that the p.Gly207Glu variant is properly folded similar to the wild-type enzyme, whereas p.Leu42_Glu44del is disordered and prone to aggregation.

60 APPLIED LIFE SCIENCES↗

Infectious or Noninfectious? Ruptured, Thrombosed Inflammatory Aortic Aneurysm with Spondylolysis

Osteolysis of vertebrae due to inflammatory aortic aneurysm is rarely observed. However, it is estimated that up to 10 % of infectious aneurysms coexist with bone tissue destruction, most commonly the vertebrae. Inflammatory aneurysms with no identified infection factor, along with infiltration of adjacent muscle and in particular extensive destruction of bone tissue have rarely been described in the literature. A case of inflammatory aneurysm with posterior wall rupture and inflammatory infiltration of the iliopsoas muscle and spine, together with extensive vertebral body destruction, is presented. The aneurysm was successfully treated with endovascular aneurysm repair EVAR.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Impact of Endografting on the Thoracic Aortic Anatomy: Comparative Analysis of the Aortic Geometry before and after the Endograft Implantation

Purpose: Although the widespread acceptance of thoracic endovascular aortic repair (TEVAR) as a first-line treatment option for a multitude of thoracic aortic diseases, little is known about the consequences of the device implantation on the native aortic anatomy. We propose a comparative analysis of the pre- and postoperative geometry on a clinical series of patients and discuss the potential clinical implications Methods: CT pre- and postoperative acquisitions of 30 consecutive patients treated by TEVAR for different pathologies (20 thoracic aortic aneurysms, 6 false aneurysms, 3 penetrating ulcers, 1 traumatic rupture) were used to model the vascular geometry. Pre- and postoperative geometries were compared for each patient by pairing and matching the 3D models. An implantation site was identified, and focal differences were detected and described. Results: Segmentation of the data sets was successfully performed for all 30 subjects. Geometry differences between the pre- and postoperative meshes were depicted in 23 patients (76 %). Modifications at the upper implantation site were detected in 14 patients (47 %), and among them, the implantation site involved the arch (Z0–3) in 11 (78 %). Conclusion: Modeling the vascular geometry on the basis of imaging data offers an effective tool to perform patient-specific analysis of the vascular geometry before and after the treatment. Future studies will evaluate the consequences of these changes on the aortic function.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

AngioVac Aspiration for Paradoxical Emboli Protection through a Fenestrated Fontan During Central Venous Thrombus Manipulation

This case reports describes a 39-year-old female with a history of surgically repaired hypoplastic left heart syndrome who presented with a left peripherally inserted central catheter (PICC) with associated large volume subclavian and brachiocephalic vein thrombus. Due to the presence of a right-to-left shunt via a fenestrated Fontan, there was clinical concern for a paradoxical embolism during removal of the PICC. The AngioVac aspiration system was successfully utilized to aspirate thromboemboli from the level of the proximal Glenn shunt during manipulation and removal of the PICC. This is the first reported case to demonstrate the safe and effective use of the AngioVac aspiration system for protection of paradoxical emboli through a cardiac right-to-left shunt during a procedure at high risk for thromboembolism.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Thromboembolic Complications after Zenith{sup ®} Low Profile Endovascular Graft for Infrarenal Abdominal Aneurysms

PurposeThe purpose of this study was to objectify and evaluate risk factors for thromboembolic complications after treatment with a Zenith{sup ®} Low Profile Endovascular Graft (Zenith LP). Results were compared with those in the recent literature on endovascular aortic repair (EVAR) and with the thromboembolic complications in the patient group treated with a Zenith Flex Endovascular Graft in our institute in the period before the use of the Zenith LP.Materials and MethodsAll consecutive patients who were suitable for treatment with a Zenith LP endograft between October 2010 and December 2011 were included. The preprocedural computed tomography scan (CT), procedural angiographic images, and the postprocedural CT scans were evaluated for risk factors for and signs of thromboembolic complications. All patients treated between December 2007 and November 2012 with a Zenith Flex endograft were retrospectively evaluated for thromboembolic complications.ResultsIn the study period 17 patients were treated with a LP Zenith endograft. Limb occlusion occurred in 35 % of the patients. Limb occlusions occurred in 24 % of the limbs at risk (one limb occluded twice). In one patient two risk factors for limb occlusion were identified. Between December 2007 and November 2012, a total of 43 patients were treated with a Zenith Flex endograft. No limb occlusion or distal embolization occurred.ConclusionDespite that this was a small retrospective study, the Zenith LP endograft seems to be associated with more frequent thromboembolic complications compared with the known limb occlusion rates in the literature and those of the patients treated with a Zenith Flex endograft in our institute.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Early Results of Chimney Technique for Type B Aortic Dissections Extending to the Aortic Arch

ObjectiveTo summarize our early experience gained from the chimney technique for type B aortic dissection (TBAD) extending to the aortic arch and to evaluate the aortic remodeling in the follow-up period.MethodsFrom September 2011 to July 2014, 27 consecutive TBAD patients without adequate proximal landing zones were retrograde analyzed. Chimney stent-grafts were deployed parallel to the main endografts to reserve flow to branch vessels while extending the landing zones. In the follow-up period, aortic remodeling was observed with computed tomography angiography.ResultsThe technical success rate was 100 %, and endografts were deployed in zone 0 (n = 3, 11.1 %), zone 1 (n = 18, 66.7 %), and zone 2 (n = 6, 22.2 %). Immediately, proximal endoleaks were detected in 5 patients (18.5 %). During a mean follow-up period of 17.6 months, computed tomography angiography showed all the aortic stent-grafts and chimney grafts to be patent. Favorable remodeling was observed at the level of maximum descending aorta and left subclavian artery with expansion of true lumen (from 18.4 ± 4.8 to 25 ± 0.86 mm, p < 0.001 and 27.1 ± 0.62 to 28.5 ± 0.37 mm, p < 0.001) and depressurization of false lumen (from 23.7 ± 2.7 to 8.7 ± 3.8 mm, p < 0.001, from 5.3 ± 1.2 to 2.1 ± 2.1 mm, p < 0.001). While at the level of maximum abdominal aorta, suboptimal remodeling of the total aorta (from 24.1 ± 0.4 to 23.6 ± 1.5 mm, p = 0.06) and true lumen (from 13.8 ± 0.6 to 14.5 ± 0.4 mm, p = 0.08) was observed.ConclusionBased on our limited experience, the chimney technique with thoracic endovascular repair is demonstrated to be promising for TBAD extending to the arch with favorable aortic remodeling.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Low Contrast Dose Catheter-Directed CT Angiography (CCTA)

PurposeCatheter-directed computed tomography angiography (CCTA) has been shown to reduce the contrast volumes required in conventional CTA, thus minimizing the risk of contrast-induced nephropathy (CIN).Materials and MethodsA retrospective analysis was performed on cases where CCTA was used to assess access vessels prior to transfemoral aortic valve implantation (TAVI, n = 53), abdominal aortic aneurysm assessment for endovascular aneurysm repair (EVAR, n = 11), and peripheral vascular disease (PVD, n = 24).ResultsWe show that CCTA can image vasculature with adequate diagnostic detail to allow assessment of lower extremity disease, anatomic suitability for EVAR, as well as potential contraindications to TAVI. Average contrast volumes for pre-TAVI, pre-EVAR, and PVD cases were 7, 11, and 28 mL, respectively.ConclusionThis study validates the use of CCTA in obtaining diagnostic images of the abdominal and pelvic vessels and in imaging lower extremity vasculature.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Amplatzer Vascular Plug Anchoring Technique to Stabilize the Delivery System for Microcoil Embolization

PurposeTo evaluate the feasibility of a novel embolization technique, the Amplatzer vascular plug (AVP) anchoring technique, to stabilize the delivery system for microcoil embolization.Materials and methodsThree patients were enrolled in this study, including two cases of internal iliac artery aneurysms and one case of internal iliac arterial occlusion prior to endovascular aortic repair. An AVP was used in each case for embolization of one target artery, and the AVP was left in place. The AVP detachment wire was then used as an anchor to stabilize the delivery system for microcoil embolization to embolize the second target artery adjacent to the first target artery. The microcatheter for the microcoils was inserted parallel to the AVP detachment wire in the guiding sheath or catheter used for the AVP.ResultsThe AVP anchoring technique was achieved and the microcatheter was easily advanced to the second target artery in all three cases.ConclusionThe AVP anchoring technique was found to be feasible to advance the microcatheter into the neighboring artery of an AVP-embolized artery.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Pharmacomechanical Thrombectomy in Paget–Schroetter Syndrome

PurposeThe purpose of the study was to evaluate feasibility of pharmacomechanical thrombectomy (PMT) in the treatment of Paget–Schroetter syndrome (PSS) followed by thoracoscopic or open surgical decompression of the subclavian vein.MethodsTwenty-two out of 27 consecutive patients with PSS received PMT using the Trellis-8 peripheral infusion system (Covidien) between 2010 and 2014. Subsequent surgery was performed in 18 of those patients, 9 patients were treated with thoracoscopic, 7 patients with subclavicular, and 2 patients with transaxillary first rib resection, 4 patients were treated with PMT and anticoagulation alone. Technical success, complications, and patency were registered.ResultsPMT was successful in 21 (95 %) patients; 1 patient with unsatisfactory lysis received further catheter-directed thrombolysis, which, however, did not improve the result. The mean endovascular procedure time was 105 ± 33 min (range 70–200 min), and the required median amount of thrombolytic agent was 500,000 international unit (IU; range 250,000–1,000,000 IU). Adjunctive balloon venoplasty and aspiration were used in 18 (82 %) and 7 (32 %) cases, respectively. One patient had an intimal tear of the subclavian vein that was discovered and repaired during surgery. There were no other complications related to the endovascular procedure. At follow-up, 18 of 21 patients (86 %) with follow-up imaging available had patent subclavian vein, and all except 1 of the 22 patients were asymptomatic. The mean follow-up time was 25 ± 17 months.ConclusionsIn experienced hands, PMT is effective for early thrombus removal in PSS. Surgical decompression must be considered after PMT.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

The Influence of Preoperative Aneurysmal Thrombus Quantity and Distribution on the Development of Type II Endoleaks with Aneurysm Sac Enlargement After EVAR of AAA

PurposeTo determine the influence of preoperative aneurysmal thrombus quantity and distribution on the development of type II endoleak with aneurysm sac enlargement after endovascular aneurysm repair (EVAR).Materials and MethodsWe retrospectively analyzed the pre- and postoperatively performed CT scans of 118 patients who had follow-up imaging for at least 1 year after EVAR available. We assessed preoperative thrombus perimeter (T{sub Peri}), diameter (T{sub Dia}), cross-sectional area (T{sub CSA}), and volume (T{sub Vol}). The preoperative thrombus distribution was classified into no thrombus, semilunar-shaped (anterior, right side, left side, posterior) thrombus, and circumferential type thrombus. The number of preoperative patent aortic side branches (ASB) was identified. Endpoint was type II endoleak with aneurysm volume (A{sub Vol}) increase of ≥5 % during follow-up.ResultsDuring follow-up (2 years, range 1–9 years), 17 patients with type II endoleak had significant A{sub Vol} increase. Less preoperative T{sub Peri}, T{sub Dia}, T{sub CSA}, and T{sub Vol} were associated with A{sub Vol} increase. A circumferential thrombus distribution significantly protected against aneurysm enlargement (p = 0.028). The variables with the strongest significance for A{sub Vol} increase were preoperative T{sub Vol}/A{sub Vol} ratio (OR 0.95; p = 0.037) and number of patent ASB (OR 3.52; p < 0.001).ConclusionA low preoperative T{sub Vol}/A{sub Vol} ratio and a high number of patent ASB were associated with aneurysm sac enlargement after EVAR.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Early Enlargement of Aneurysmal Sac and Separation of EndoBags of Nellix Endovascular Aneurysm Sealing System as Signs of Increased Risk of Later Aneurysm Rupture

Nellix Endovascular Aneurysm Sealing (EVAS) system is a new concept and technology of abdominal aortic aneurysm (AAA) repair. Elective EVAS using Nellix device was performed for a 83-year-old man with AAA. 2-month post-EVAS CTA surveillance demonstrated mild enlargement of aneurysmal sac and separation of the EndoBags, but without detectable endoleak. The patient developed sudden AAA rupture with retroperitoneal hematoma at about 4 months after EVAS. We postulated that early enlargement of aneurysmal sac and separation of EndoBags of Nellix devices after EVAS, even without detectable endoleak, might indicate significant aneurysmal wall weakening with increased risk of later AAA rupture. To the best of the authors’ knowledge, this was the first reported case of aortic rupture after EVAS without detectable endoleak during and after the procedure.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

EndoVascular and Hybrid Trauma Management (EVTM) for Blunt Innominate Artery Injury with Ongoing Extravasation

Innominate artery (IA) traumatic injuries are rare but life-threatening, with high mortality and morbidity. Open surgical repair is the treatment of choice but is technically demanding. We describe a case of blunt trauma to the IA with ongoing bleeding, treated successfully by combined (hybrid) endovascular and open surgery. The case demonstrates the immediate usage of modern endovascular and surgical tools as part of endovascular and hybrid trauma management.

62 RADIOLOGY AND NUCLEAR MEDICINE↗