A contemporary rural trauma center experience in blunt traumatic aortic injury

Journal of Vascular Surgery
Christopher A DurhamMichael C Stoner

Abstract

Traumatic aortic injury (TAI) is a rare yet highly lethal injury associated with blunt force deceleration injury. The adoption of thoracic endovascular aortic repair (TEVAR) has become a safer option than traditional open repair. The purpose of this study is to review a rural trauma center experience with TAI. A retrospective analysis was performed, reviewing all patients who presented with TAI between 2000 and 2009. Clinical, anatomical, and procedural variables of all cases were systematically reviewed. Clinical endpoints included mortality, and aortic-related mortality, and hospital length of stay. The study population was stratified by those that underwent surgical repair (SR) and those managed medically (MM). Fifty-six patients presented with blunt TAI; 35 patients (62.5%) were surgically repaired (22 open, 13 TEVAR), while 21 (37.5%) were MM. The only difference in comorbidities was a higher rate of coronary artery disease in MM. Mean hospital arrival time (SR, 188.6 ± 30.3 minutes, MM, 253 ± 65.3 minutes), aortic injury grade (SR, 2.7 ± 0.1; MM, 2.3 ± 0.2), and injury severity score were not significantly different between the groups. Head Abbreviated Injury Score (AIS) was worse in the MM group, while chest AIS was wors...Continue Reading

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Citations

May 1, 2012·Journal of the American College of Surgeons·Robert M CannonMatthew L Williams
Jan 31, 2012·Annals of Vascular Surgery·Vasileios D TzilalisHarisios Boudoulas
Jan 5, 2011·Seminars in Vascular Surgery·Christopher J Kwolek, Elizabeth Blazick
May 7, 2013·Journal of Vascular Surgery·Ombretta MartinelliLuigi Irace
May 5, 2017·The Journal of Cardiovascular Surgery·Cornelis P van der ZeeMaarten J van der Laan
Mar 15, 2015·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Nicole FoxTimothy C Fabian
May 28, 2019·Journal of Vascular Surgery·Jean Jacob-BrassardCharles de Mestral

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