Posttraumatic Resuscitation Affects Stent Graft Sizing in Patients with Blunt Thoracic Aortic Injury
| Autor: | Jordan R H, Hoffman, Ritam, Chowdhury, Laura S, Johnson, Luke P, Brewster, Yazan, Duwayri, James G, Reeves, Ravi K, Veeraswamy, Thomas F, Dodson, Ravi R, Rajani |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Thoracic Injuries Endovascular Procedures Aorta Thoracic Middle Aged Prognosis Wounds Nonpenetrating Aortography Risk Assessment Survival Analysis Cardiopulmonary Resuscitation Cohort Studies Blood Vessel Prosthesis Implantation Treatment Outcome Trauma Centers Humans Female Stents Hospital Mortality Tomography X-Ray Computed Retrospective Studies |
| Zdroj: | The American surgeon. 82(1) |
| ISSN: | 1555-9823 |
| Popis: | Patients with blunt aortic injury often present to the emergency department in a relatively hypovolemic state. These patients undergo extensive inhospital resuscitation. The effect of posttraumatic resuscitation on aortic diameter has implications for stent graft sizing. The potential utility of repeat aortic imaging after resuscitation remains unclear. A retrospective chart review of all adult patients presenting to a Level I trauma center between the years 2007 and 2013 was performed. Fifty-three patients were identified with a diagnosis of traumatic aortic injury. Of those, 10 had 2 CT scans before aortic repair and were selected as the study population for analysis. After resuscitation, there was a significant increase in aortic diameter both proximal and distal to the aortic injury: proximal aortic diameter increase of 1.97 mm and distal aortic diameter increase of 1.48 mm. This retrospective study shows that after resuscitation, there is a significant increase in proximal and distal aortic diameter. Interval reimaging of the thoracic aorta may be beneficial after adequate stabilization of the patient's other injuries. In certain cases, more appropriate sizing may prevent a device-related complication. |
| Databáze: | OpenAIRE |
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