Conservative Management of Aortic Lacerations Due to Blunt Trauma

Fisher, Richard G.; Oria, Richard A.; Mattox, Kenneth L.; Whigham, Cliff J.; Pickard, Laurens R.

doi:10.1097/00005373-199012000-00022

Cited by 58 publications

(18 citation statements)

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“…Minor aortic injuries, involving only small intimal defects, often heal without residual defects [80, 81]. However, even small lesions can go onto to rupture if blood pressure is not controlled [3].…”

Section: Endovascular Repair Vs Medical Managementmentioning

confidence: 99%

Current Management of Traumatic Rupture of the Descending Thoracic Aorta

Karmy‐Jones¹,

Jackson²,

Long³

et al. 2009

CCR

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Traumatic rupture of the descending thoracic aorta remains a leading cause of death following major blunt trauma. Management has evolved from uniformly performing emergent open repair with clamp and sew technique to include open repair with mechanical circulatory support, medical management and most recently, endovascular repair. This latter approach appears, in the short term, to be associated with perhaps better outcome, but long term data is still accruing. While an attractive option, there are specific anatomic and physiologic factors to be considered in each individual case.

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Section: Endovascular Repair Vs Medical Managementmentioning

confidence: 99%

Current Management of Traumatic Rupture of the Descending Thoracic Aorta

Karmy‐Jones¹,

Jackson²,

Long³

et al. 2009

CCR

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“…12 Other studies exist regarding observation for minimal aortic injury. Fisher et al 46 observed 3 patients with no deaths and reported 10 other such cases in the literature. With improvements in imaging technology, particularly CT, and its increased use, these minimal injuries are now frequently diagnosed.…”

Section: Does Everyone Need Repair?mentioning

confidence: 96%

Thoracic Aortic Endografting for Trauma

Propper

Clouse²

2010

Arch Surg

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Endografting is the most frequently used method for repair of BAI. The use of TAET has led to reductions in operative mortality and spinal cord ischemia. Although experience seems promising, a new array of early and late complications must be considered. The positive experience with TAET thus far has provided impetus for endograft engineering and clinical trials specifically for BAI therapy. The ultimate late durability of TAET remains to be defined.

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“…[95] Studies also demonstrate that the incidence of remote rupture of AI is uncommon with proper treatment, and that some patients have regression of AI with anti-hypertensive management. [100101102] For example, only 7% of patients with a history of acute AI developed chronic thoracic aneurysms in one study with median follow-up period of 22 years. [103] Aortic stenting can be successful, although operative repair is still the most reliable and proven treatment.…”

Section: Special Considerations In Nonoperative Management Of Traumamentioning

confidence: 99%

Trends in nonoperative management of traumatic injuries – A synopsis

Stawicki

2017

Int J Crit Illn Inj Sci

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Nonoperative management of both blunt and penetrating injuries can be challenging. During the past three decades, there has been a major shift from operative to increasingly nonoperative management of traumatic injuries. Greater reliance on nonoperative, or “conservative” management of abdominal solid organ injuries is facilitated by the various sophisticated and highly accurate noninvasive imaging modalities at the trauma surgeon’s disposal. This review discusses selected topics in nonoperative management of both blunt and penetrating trauma. Potential complications and pitfalls of nonoperative management are discussed. Adjunctive interventional therapies used in treatment of nonoperative management-related complications are also discussed.Republished with permission from:Stawicki SPA. Trends in nonoperative management of traumatic injuries – A synopsis. OPUS 12 Scientist 2007;1(1):19-35.

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Conservative Management of Aortic Lacerations Due to Blunt Trauma

Cited by 58 publications

References 0 publications

Current Management of Traumatic Rupture of the Descending Thoracic Aorta

Current Management of Traumatic Rupture of the Descending Thoracic Aorta

Thoracic Aortic Endografting for Trauma

Trends in nonoperative management of traumatic injuries – A synopsis

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