Endovascular Stent Graft Treatment of Acute Thoracic Aortic Transections Due to Blunt Force Trauma
| Autor: | Gary J. Merlotti, Marc A. Bjurlin, Peggy Kalkounos, Aswath Subram, Eugene M. Tanquilut |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Aortic Rupture medicine.medical_treatment Aorta Thoracic Arteriotomy Wounds Nonpenetrating law.invention Cohort Studies Blood Vessel Prosthesis Implantation Young Adult law Angioplasty Humans Medicine Vascular Patency Retrospective Studies business.industry Glasgow Coma Scale Stent medicine.disease Intensive care unit Surgery Treatment Outcome surgical procedures operative Blunt trauma Anesthesia Injury Severity Score Stents business Paraplegia |
| Zdroj: | Surgical Innovation. 16:147-154 |
| ISSN: | 1553-3514 1553-3506 |
| DOI: | 10.1177/1553350609335277 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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