Contemporary management and outcomes of blunt thoracic aortic injury: a multicenter retrospective study

The Journal of Trauma and Acute Care Surgery
Joseph J DuBoseAortic Trauma Foundation

Abstract

Blunt thoracic aortic injuries (BTAIs) are composed of a spectrum of lesions ranging from intimal tear to rupture, yet optimal management and ultimate outcome have not been clearly established. This is a retrospective multicenter study of BTAIs from January 2008 to December 2013. Demographics, diagnosis, treatment, and in-hospital outcomes were analyzed. Nine American College of Surgeons-verified Level I trauma centers contributed data from 453 patients with BTAIs. After exclusion of patients expiring before imaging (58) and transfers (13), 382 patients with imaging diagnosis were available for analysis (Grade 1, 94; Grade 2, 68; Grade 3, 192; Grade 4, 28). Hypotension was present on admission in 56 (14.7%). Computed tomographic angiography was used for diagnosis in 94.5%. Nonoperative management (NOM) was selected in 32%, with two in-hospital failures (Grade 1, Grade 4) requiring endovascular salvage (thoracic endovascular aortic repair [TEVAR]). Open repair (OR) was completed in 61 (16%). TEVAR was conducted in 198 (52%), with 41% of these requiring left subclavian artery coverage. Complications of TEVAR included endograft malposition (6, 3.0%), endoleak (5, 2.5%), paralysis (1, 0.5%), and stroke (2, 1.0%). Six TEVAR failures...Continue Reading

References

Jul 18, 2008·Journal of Vascular Surgery·Eleftherios S XenosEric D Endean
Jan 11, 2011·The Journal of Trauma·Pedro G R TeixeiraDemetrios Demetriades
Dec 2, 2011·Journal of Vascular Surgery·Benjamin W StarnesGabriel Aldea
Feb 7, 2012·Vascular and Endovascular Surgery·Christos LioupisOren K Steinmetz
May 2, 2012·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Sadaf S AhanchiJean M Panneton
May 7, 2013·Journal of Vascular Surgery·Ombretta MartinelliLuigi Irace
Jun 13, 2013·Journal of Vascular Surgery·Jennifer WatsonTze Tec Chong
Dec 18, 2013·The Journal of Thoracic and Cardiovascular Surgery·Joseph RabinBartley P Griffith
Jan 15, 2014·Emergency Radiology·Martin L D GunnBenjamin Starnes
Jan 25, 2014·The Journal of Trauma and Acute Care Surgery·Ali AzizzadehAnthony L Estrera
Apr 24, 2014·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Nicola MangialardiSonia Ronchey

❮ Previous
Next ❯

Citations

Oct 29, 2015·Journal of Vascular Surgery·Bernardino C BrancoAli Azizzadeh
Oct 11, 2015·The Journal of Thoracic and Cardiovascular Surgery·Anthony L Estrera
Mar 2, 2016·Journal of Vascular Surgery·Gerald R FortunaAli Azizzadeh
May 2, 2016·Journal of Vascular Surgery·Rachel E HeneghanBenjamin W Starnes
Oct 21, 2016·Journal of Vascular Surgery·Donald G HarrisRobert S Crawford
Jun 7, 2016·Annals of Vascular Surgery·Donald G HarrisRobert S Crawford
Dec 21, 2016·SAGE Open Medicine·Kamuran InciMårten Falkenberg
Jan 28, 2017·The Journal of Trauma and Acute Care Surgery·Megan BrennerThomas Scalea
Nov 24, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Daiki WadaYasuyuki Kuwagata
May 26, 2017·The Journal of Trauma and Acute Care Surgery·Steven R ShackfordWilliam A Teeter
Sep 20, 2018·VASA. Zeitschrift für Gefässkrankheiten·Elizabeth L ChouMatthew J Eagleton
Feb 7, 2019·The Cochrane Database of Systematic Reviews·Dominic PangPaul Bachoo
Mar 12, 2019·The Journal of Cardiovascular Surgery·Anna N Romagnoli, Joseph Dubose
Oct 3, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Harit KapoorMarianna Zagurovskaya
Nov 6, 2015·Current Opinion in Critical Care·Neil G ParryKelly Vogt
Sep 26, 2015·The Cochrane Database of Systematic Reviews·Dominic PangPaul Bachoo
Jul 15, 2018·Interactive Cardiovascular and Thoracic Surgery·Andrea AgostinelliFrancesco Nicolini
Apr 2, 2019·Annals of Vascular Diseases·Akbarshakh AkhmerovAli Azizzadeh
Oct 4, 2020·The Journal of Trauma and Acute Care Surgery·Leslie KobayashiFederico Coccolini
Jul 19, 2020·Journal of Vascular Surgery·Abdul Q AlarhayemRamon F Cestero
Oct 20, 2020·The Journal of Trauma and Acute Care Surgery·Joseph J DuBoseUNKNOWN AAST/Aortic Trauma Foundation Study Group
Oct 17, 2020·Vascular and Endovascular Surgery·Daniel ChengPaul J Chestovich
Dec 29, 2020·Annals of Vascular Surgery·Elina QuirogaNiten Singh
Mar 25, 2021·Aorta : Official Journal of the Aortic Institute at Yale-New Haven Hospital·Ahmet Can TopcuIlyas Kayacioglu
Jul 1, 2020·Annals of Vascular Surgery·Kenneth TranJason T Lee
Jul 3, 2021·Jornal Vascular Brasileiro·Lucas Mansano SarquisVinicius Belas do Vale
Aug 3, 2021·Trauma Surgery & Acute Care Open·Hossam AbdouRishi Kundi
Dec 14, 2018·Journal of Vascular Surgery Cases and Innovative Techniques·Emily Y FanAndres Schanzer
Jul 17, 2019·Journal of Vascular Surgery Cases and Innovative Techniques·Eric C KuoGregory A Magee
Mar 30, 2019·Journal of Vascular Surgery·Elina QuirogaNiten Singh
May 23, 2019·Journal of Vascular Surgery·Stefan Kenel-PierreJorge Rey
Jan 7, 2022·Angiology·Ranjan DahalDebabrata Mukherjee

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.