Endovascular stent graft treatment of acute thoracic aortic transections due to blunt force trauma.
Affiliation
Division of Trauma, St. James Hospital and Health Centers, Midwestern University,, Olympia Fields, Illinois, USA.Issue Date
2012-02-01T10:45:10ZMeSH
AdolescentAdult
*Angioplasty
Aorta, Thoracic/*injuries
Aortic Rupture/diagnosis/etiology/*surgery
*Blood Vessel Prosthesis Implantation
Cohort Studies
Humans
Male
Retrospective Studies
*Stents
Treatment Outcome
Vascular Patency
Wounds, Nonpenetrating/*complications/diagnosis/surgery
Young Adult
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Show full item recordCitation
Surg Innov. 2009 Jun;16(2):147-54. Epub 2009 May 14.Journal
Surgical innovationDOI
10.1177/1553350609335277PubMed ID
19443864Abstract
Endovascular stent graft treatment of acute thoracic aortic transections is an encouraging minimally invasive alternative to open surgical repair. Between 2006 and 2008, 16 patients with acute thoracic aortic transections underwent evaluation at our institution. Seven patients who were treated with an endovascular stent graft were reviewed. The mean Glasgow Coma Score was 13.0, probability of survival was .89, and median injury severity score was 32. The mean number of intensive care unit days was 7.7, mean number of ventilator support days was 5.4, and hospital length of stay was 10 days. Mean blood loss was 285 mL, and operative time was 143 minutes. Overall mortality was 14%. Procedure complications were a bleeding arteriotomy site and an endoleak. Endovascular treatment of traumatic thoracic aortic transections appears to demonstrate superior results with respect to mortality, blood loss, operative time, paraplegia, and procedure-related complications when compared with open surgical repair literature.Language
engISSN
1553-3506 (Print)1553-3506 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1177/1553350609335277
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