Endovascular Grafting of Traumatic Aortic Aneurysms in Contaminated Fields

Krämer, Stefan; Pamler, Reinhard; Seifarth, Harald; Brambs, Hans‐Jürgen; Sunder‐Plassmann, L.; Görich, Johannes

doi:10.1177/152660280100800305

Cited by 22 publications

(16 citation statements)

References 29 publications

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“…Ultimately 61 publications were identified that described one or more patients with traumatic aortic rupture12–72. Including the authors' experience, a data set containing 284 patients treated endovascularly in 62 centres was collected.…”

Section: Resultsmentioning

confidence: 99%

“…The median for the 95 survivors of these 112 patients was 15 (range 1–82) months. Follow‐up schemes were described in 28 publications12, 14, 15, 20, 23, 25, 28–30, 32, 35, 36, 41–44, 46, 48, 52, 55, 57–59, 62, 64, 67, 68, 72. The follow‐up during the first year varied from a computed tomographic (CT) angiogram after 1, 3 and 6 months, to a single CT angiogram after 6 months.…”

Section: Resultsmentioning

confidence: 99%

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Endovascular treatment of traumatic rupture of the thoracic aorta

Poll

Schurink

Haan

et al. 2007

British Journal of Surgery

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Endovascular treatment of traumatic rupture of the thoracic aorta

Poll

Schurink

Haan

et al. 2007

British Journal of Surgery

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“…We excluded studies published only in abstract form, non‐human studies, cardiac surgical studies, paediatric studies and in‐vitro or non‐operative human studies. We also excluded studies where the patients were known to be complicated by infection [10–12] or chronic inflammation [13, 14].…”

Section: Methodsmentioning

confidence: 99%

A meta‐analysis of the utility of C‐reactive protein in predicting early, intermediate‐term and long term mortality and major adverse cardiac events in vascular surgical patients

Padayachee¹,

Rodseth²,

Biccard

2009

Anaesthesia

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SummaryWe conducted a meta-analysis of the utility of pre-operative C reactive protein (CRP) in predicting early (< 30 days), intermediate (30-180 days) and long term (> 180 days) mortality and major adverse cardiac events (MACE; cardiac mortality and nonfatal myocardial infarction (MI) combined) following vascular surgery. Of 291 studies identified, ten prospective patient cohorts were identified. A pre-operative CRP > 3 mg. Vascular surgery is associated with major adverse perioperative cardiac events. Unfortunately, currently used pre-operative diagnostic tests for these patients are not statistically robust enough to accurately predict these events [1]. A meta-analysis of six pre-operative tests for vascular surgical patients which included; ambulatory ECG, exercise ECG, radionuclide ventriculography, myocardial perfusion scintigraphy, dipyridamole stress echocardiography and dobutamine stress echocardiography, showed that dobutamine stress echocardiography had a trend to the best performance of the six tests for the prediction of major adverse cardiac events (MACE; defined as peri-operative cardiac death and non-fatal myocardial infarction (MI) within 30 days of surgery [2]), with a positive likelihood ratio (LR) and negative LR of 2.8 and 0.21 respectively. As statistically, good discrimination requires a LR of > 10 and < 0.2, there are clearly clinical limitations to the utility of these pre-operative tests for vascular surgical patients [1].

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“…18 Stent grafts have been placed in contaminated fields following trauma with no adverse short-to medium-term sequelae. 46 Chronic aneurysms post untreated IAI can be treated by stent grafting or open surgery (Fig. 8).…”

Section: Management Strategiesmentioning

confidence: 99%

Thoracic Aortic and Great Vessel Trauma and Its Management

McPherson¹

2007

Semin intervent Radiol

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Interventional radiologists (IRs) now play a major role in the management of thoracic aortic and great vessel trauma. The recent availability of a wide range of stent grafts able to treat vessels from 3 to 46 mm in diameter is clearly a significant contributor to this change. Stent grafts can now treat the majority of incomplete aortic injuries with much lower morbidity and mortality than open surgery. Short-to medium-term follow-up is encouraging, but the long-term durability is unknown, and close monitoring of these patients must continue. In great vessel trauma, stent grafts are a useful adjunct to balloon tamponade, embolization, and bare stents. As a result, a wide range of head neck and upper limb vascular injuries can be managed with less local trauma, blood loss, and physiological stress. The increased involvement of IR in the management of vascular trauma is not simply the result of technological advances. IRs have increasingly made themselves available to carry out these emergency procedures. IRs should assist in the development of trauma protocols and management algorithms that involve endovascular expertise early in the assessment of the major trauma patient.

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Endovascular Grafting of Traumatic Aortic Aneurysms in Contaminated Fields

Abstract: Endovascular therapy may be an alternative in the acute management of aortic ruptures in the setting of infection. Long-term results are required for definitive evaluation of the method.

Cited by 22 publications

References 29 publications

Endovascular treatment of traumatic rupture of the thoracic aorta

Endovascular treatment of traumatic rupture of the thoracic aorta

A meta‐analysis of the utility of C‐reactive protein in predicting early, intermediate‐term and long term mortality and major adverse cardiac events in vascular surgical patients

Thoracic Aortic and Great Vessel Trauma and Its Management

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