Endovascular Surgery for Traumatic Thoracic Aortic Injury: Our Experience with Five Cases, Two of Whom were Young Patients

Yamashita, Yoshiyuki; Matsumoto, Takashi; Matsuyama, Sho; Fukumura, Fumio; Ando, Hiromi; Tanaka, Jiro; Uchida, Takayuki

doi:10.3400/avd.oa.14-00051

Cited by 2 publications

(2 citation statements)

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“…Thirty-two articles were excluded, leaving 16 retrospective cohort studies comprising 238 participants in the final analysis. [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] The search strategy is shown in Figure 1 and is based upon the PRISMA flow diagram systematic reviews. 12 Table 1 summarises the characteristics of included studies.…”

Section: Systematic Search Strategymentioning

confidence: 99%

“…A lack of device opposition to the aortic wall at the horizontal segment of the aortic arch can also cause device collapse. 6 In such instances, patients in this review were successfully treated with an additional balloon expandable bare stent 23,29 ; prosthetic graft replacement 15 ; open surgical repair 17,19 ; insertion of second stent graft. 21 The usage of handmade stent grafts relies on timely imaging for surgical planning, and additional time taken to assemble the custom-made stents should not unduly delay the operation, but should in theory ensure better conformity to the thoracic aorta.…”

Section: -Day Mortalitymentioning

confidence: 99%

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The endovascular repair of blunt traumatic thoracic aortic injury in Asia: A systematic review and meta-analysis

Wee

Syn

et al. 2019

Vascular

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Introduction Blunt traumatic thoracic aortic injury, the second leading cause of death from trauma, poses unique challenges in its management. However, there has not yet been a corresponding consolidated series of outcomes reported in Asia, which this systematic review aims to address. Method This review was performed as per the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Searches were performed on MEDLINE, EMBASE, Google Scholar, and Cochrane Database for studies performed in Asia reporting the endovascular management of blunt traumatic thoracic aortic injury. Risk of bias was assessed using the Newcastle-Ottawa scale. Meta-analyses of pooled proportions were performed using the metaprop command in STATA. This review has been prospectively registered in PROSPERO (CRD42018083773). Results Sixteen retrospective cohort studies were included, reporting a total of 238 patients. The pooled Injury Severity Score was 32.5 (95%CI 27.8–37.1). The pooled mean time to operation from diagnosis was 39.2 hours (95%CI 24.6–53.8 hours), and operation time was 100 min (95%CI 63.5–136.5 min). The pooled rate of procedural conversion from endovascular repair to open surgery was 0.17% (95%CI 0–3.7%), and the proportion of left subclavian artery coverage was 55% (95%CI 37–72%). The pooled prevalence of intra-operative all-cause and aortic-related mortality was 0.72% (95%CI 0–4.9%) and 0.27% (95%CI 0–3.8%), respectively. The pooled prevalence of 30-day all-cause and aortic-related mortality was 2.2% (95%CI 0.16–5.6%) and 2.1% (95%CI 0–3.7%), respectively. In terms of 30-day complication, the pooled prevalence rates of type 1 endoleak, endograft complications, vascular access injury, strokes, and aortic re-rupture were 1.2%, 0.34%, 0.14%, 0.02%, and 0.01%, respectively. There were no cases of types II and III endoleak, and renal failure. Conclusion Short- to mid-term results for thoracic endovascular aortic repair for blunt traumatic thoracic aortic injury in Asia are encouraging. However, there is a distinct disparity in reporting across Asia. We propose a prospective database for outcome reporting post thoracic endovascular aortic repair in this patient population, and ongoing follow up to assess long-term efficacy of this treatment strategy.

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Section: Systematic Search Strategymentioning

confidence: 99%

Section: -Day Mortalitymentioning

confidence: 99%

The endovascular repair of blunt traumatic thoracic aortic injury in Asia: A systematic review and meta-analysis

Wee

Syn

et al. 2019

Vascular

View full text Add to dashboard Cite

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Tratamiento endovascular de lesión iatrogénica en aorta torácica causada por tornillo de artrodesis

et al. 2018

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Endovascular Surgery for Traumatic Thoracic Aortic Injury: Our Experience with Five Cases, Two of Whom were Young Patients

Abstract: Endovascular surgery for traumatic thoracic aortic injury can be performed safely with low mortality or morbidity even in young small aorta. Accumulation of clinical experience and evaluation of long-term outcomes are necessary.

Cited by 2 publications

References 22 publications

The endovascular repair of blunt traumatic thoracic aortic injury in Asia: A systematic review and meta-analysis

The endovascular repair of blunt traumatic thoracic aortic injury in Asia: A systematic review and meta-analysis

Tratamiento endovascular de lesión iatrogénica en aorta torácica causada por tornillo de artrodesis

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