National trends in utilization and outcome of thoracic endovascular aortic repair for traumatic thoracic aortic injuries

Journal of Vascular Surgery
Klaas H J UlteeMarc L Schermerhorn

Abstract

Endovascular repair of traumatic thoracic aortic injuries (TTAI) is an alternative to conventional open surgical repair. Single-institution studies have shown a survival benefit with thoracic endovascular aortic repair (TEVAR), but whether this is being realized nationally is not clear. The purpose of our study was to document trends in the increase in use of TEVAR and its effect on outcomes of TTAI nationally. Patients admitted with a TTAI between 2005 and 2011 were identified in the National Inpatient Sample. Patients were grouped by treatment into TEVAR, open repair, or nonoperative management. Primary outcomes were relative use over time and in-hospital mortality. Secondary outcomes included postoperative complications and length of stay. Multivariable logistic regression was performed to identify independent predictors of mortality. Included were 8384 patients, with 2492 (29.7%) undergoing TEVAR, 848 (10.1%) open repair, and 5044 (60.2%) managed nonoperatively. TEVAR became the dominant treatment option for TTAI during the study period, starting at 6.5% of interventions in 2005 and accounting for 86.5% of interventions in 2011 (P < .001). Nonoperative management declined concurrently with the widespread of adoption TEVAR (...Continue Reading

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Citations

Sep 11, 2018·Critical Care Medicine·Samuel A Tisherman, Deborah M Stein
Apr 2, 2019·Annals of Vascular Diseases·Akbarshakh AkhmerovAli Azizzadeh
Jan 13, 2017·Cardiovascular and Interventional Radiology·Prashant NagpalAshish Khandelwal
Jul 19, 2020·Journal of Vascular Surgery·Abdul Q AlarhayemRamon F Cestero
Dec 29, 2020·Annals of Vascular Surgery·Elina QuirogaNiten Singh
Sep 6, 2020·Journal of Vascular Surgery·Abhisekh MohapatraMohammad H Eslami
Mar 2, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jane P KoBarry Hutchinson
Apr 23, 2021·Seminars in Interventional Radiology·Akhil MongaPankaj Mehta
Mar 30, 2019·Journal of Vascular Surgery·Elina QuirogaNiten Singh

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