Endovascular Stent Grafts for Acute Blunt Aortic Injury

Dunham, Michael; Zygun, David; Petrasek, Paul; Kortbeek, John B.; Karmy‐Jones, Riyad; Moore, Randy D.

doi:10.1097/01.ta.0000123039.92225.e5

Cited by 88 publications

(71 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recent reports have shown that emergency repair of thoracic aortic disease with endovascular stent-grafts is a safe, effective and less invasive treatment option with technical success rates ranging from 90 to 100% and encouraging short-and mid-term results (Table 1) [5,[11][12][13][14][15][16][17][18][19][20][21][22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Placement of endovascular stent-grafts for emergency repair of acute traumatic aortic rupture: a single-centre experience

et al. 2006

View full text Add to dashboard Cite

The aim of this retrospective study was to evaluate mid- and long-term results of endovascular stent-graft placement for emergency repair of acute traumatic thoracic aortic rupture. From 1996 through 2005, 22 consecutive patients (mean age: 38.7 years) underwent endovascular repair of acute traumatic thoracic aortic rupture located at the aortic isthmus in most cases. All patients were at high surgical risk due to severe associated injuries. The endografts were inserted via femoral or iliac artery access under fluoroscopic guidance. Follow-up was performed postinterventionally, at 6 and 12 months and yearly thereafter, and included clinical examination and computed tomography (CT) scans. Technical and clinical success rates were 86.3%. Mean follow-up was 31.7 months. Three patients developed early type I endoleak due to the inability of the rigid graft to adapt to the curved aortic contour. In two of them conversion to open surgery was necessary. One patient had late type I endoleak and died. No other complications were observed. The outcome was successful in most patients. The mid- and long-term results of our current study are promising. However, early type I endoleak represents a problem, especially in adolescent patients with a marked curvature of the aortic arch.

show abstract

Section: Introductionmentioning

confidence: 99%

Placement of endovascular stent-grafts for emergency repair of acute traumatic aortic rupture: a single-centre experience

et al. 2006

View full text Add to dashboard Cite

show abstract

“…In recent years, minimally invasive stent grafting has become the first choice for TTAR repair in overseas countries. 9) The spread of this technique is also awaited in Japan.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of the Outcome of Traumatic Thoracic Aortic Rupture in Patients in a Trauma and Critical Care Center

Okada

Kamesaki

Mikami

et al. 2013

Annals of Vascular Diseases

View full text Add to dashboard Cite

Objectives: Multiple injuries may lead to traumatic thoracic aortic rupture (TTAR), which can be fatal. We evaluated the relationship between the clinical findings and outcomes of 26 patients with TTAR who were treated at our institution. Methods: A total of 26 patients (men, 21; women, 5; average age, 45.8 ± 19.6 years) with a diagnosis of TTAR received from 1999 to 2009 were studied. We categorized patients into groups based on the outcome (survival or death) and investigated the relationship between the outcome and the following factors: injury mechanism, vital signs, other combined injuries, injury severity score (ISS), revised trauma score, and probability of survival (Ps). Results: Of the 26 TTAR patients, 7 underwent emergency operations, 5 underwent delayed operations, 1 received conservative treatment, and 13 suffered cardiopulmonary arrest immediately after consultation and died. Of the 13 patients who died, 11 died within 2 hours after injury because of bleeding. Two of the 7 patients who underwent emergency operations died within 1 day of consultation, whereas all those who underwent delayed operations survived. Patients who underwent TTAR repair had a relatively favorable outcome. Analysis of the relationship between the clinical data and outcome showed that a young age was significantly correlated with survival, and that the Glasgow coma scale (GCS), heart rate, respiratory rate, or occurrence of shock were not significantly related to the outcome. The abbreviated injury scale (AIS) was used to score the severity of multiple injuries, and ISS was calculated from the AIS score. ISS was significantly higher in the death group (P = 0.007). ISS did not significantly differ among body parts (P = 0.077), but ISS of the extremities was higher than those of other parts. Pelvic fractures were frequent in the death group. Our strategy, whereby the patient initially underwent pelvic external fixation followed by TTAR repair was found to be very effective. The P-values calculated by the trauma and injury severity score method were significantly higher in the survival group (both, P = 0.007). Conclusion: To treat TTAR, it is important to accurately evaluate the damage due to multiple injuries and apply an appropriate treatment strategy. Immediate repair of TTAR after bleeding due to combined injury improves the outcome. (English Translation of Jpn J Vasc Surg 2012; 21:5-9)

show abstract

“…Dake et al presented one of the first series of endovascular stent grafts for the treatment of descending thoracic aortic aneurysms in 1994 (Dake et al, 1994). Since then, several authors have reported successful endovascular treatment of both chronic and acute lesions of the thoracic aorta (Dake, 2001;Kato et al, 1997;Fujikawa et al, 2001;Lachat et al, 2002;Czermak et al, 2002;Amabile et al, 2004;Dunham et al, 2004;Hoornweg et al, 2006;Alsac et al, 2008;Kaya et al, 2009). Despite advances in surgical techniques, surgery for acute thoracic aortic rupture is associated with high morbidity and mortality rates (Doss et al, 2003;Dake et al, 1994).…”

Section: Discussionmentioning

confidence: 99%

Endovascular Repair of Thoracic Aortic Emergencies

Ribé¹,

Portero²,

Solis³

et al. 2011

Diagnosis and Treatment of Abdominal and Thoracic Aortic Aneurysms Including the Ascending Aorta and the Aortic Arch

View full text Add to dashboard Cite

Endovascular Stent Grafts for Acute Blunt Aortic Injury

Abstract: Repair of BAI with EVSG can be performed safely in patients with BAI. Mortality, morbidity, and especially paraplegia are reduced. Further long-term studies are required to support the routine use of EVSG technology for BAI.

Cited by 88 publications

References 31 publications

Placement of endovascular stent-grafts for emergency repair of acute traumatic aortic rupture: a single-centre experience

Placement of endovascular stent-grafts for emergency repair of acute traumatic aortic rupture: a single-centre experience

Evaluation of the Outcome of Traumatic Thoracic Aortic Rupture in Patients in a Trauma and Critical Care Center

Endovascular Repair of Thoracic Aortic Emergencies

Contact Info

Product

Resources

About