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    Endovascular stent graft treatment of acute thoracic aortic transections due to blunt force trauma.

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    Authors
    Bjurlin, Marc A
    Tanquilut, Eugene M
    Subram, Aswath
    Kalkounos, Peggy
    Merlotti, Gary J
    Affiliation
    Division of Trauma, St. James Hospital and Health Centers, Midwestern University,, Olympia Fields, Illinois, USA.
    Issue Date
    2012-02-01T10:45:10Z
    MeSH
    Adolescent
    Adult
    *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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    Metadata
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    Citation
    Surg Innov. 2009 Jun;16(2):147-54. Epub 2009 May 14.
    Journal
    Surgical innovation
    URI
    http://hdl.handle.net/10147/207803
    DOI
    10.1177/1553350609335277
    PubMed ID
    19443864
    Abstract
    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
    eng
    ISSN
    1553-3506 (Print)
    1553-3506 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1177/1553350609335277
    Scopus Count
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    St. James's Hospital

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