Natural history of grade I-II blunt traumatic aortic injury

Journal of Vascular Surgery
Michael J OsgoodJeffery B Dattilo

Abstract

Endovascular aortic repair has revolutionized the management of traumatic blunt aortic injury (BAI). However, debate continues about the extent of injury requiring endovascular repair, particularly with regard to minimal aortic injury. Therefore, we conducted a retrospective observational analysis of our experience with these patients. We retrospectively reviewed all BAI presenting to an academic level I trauma center over a 10-year period (2000-2010). Images were reviewed by a radiologist and graded according to Society for Vascular Surgery guidelines (grade I-IV). Demographics, injury severity, and outcomes were recorded. We identified 204 patients with BAI of the thoracic or abdominal aorta. Of these, 155 were deemed operative injuries at presentation, had grade III-IV injuries or aortic dissection, and were excluded from this analysis. The remaining 49 patients had 50 grade I-II injuries. We managed 46 grade I injuries (intimal tear or flap, 95%), and four grade II injuries (intramural hematoma, 5%) nonoperatively. Of these, 41 patients had follow-up imaging at a mean of 86 days postinjury and constitute our study cohort. Mean age was 41 years, and mean length of stay was 14 days. The majority (48 of 50, 96%) were thoracic ...Continue Reading

References

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Citations

Dec 4, 2015·Annals of Vascular Surgery·Christophe NizetJean-Olivier Defraigne
Sep 16, 2015·Annals of Vascular Surgery·Mostafa H El-BeheiryThomas L Forbes
Jul 1, 2015·Diagnostic and Interventional Imaging·F Z MokraneH Rousseau
Feb 2, 2015·Insights Into Imaging·Esther VoitleManfred Cejna
Dec 3, 2014·The Journal of Thoracic and Cardiovascular Surgery·Ali KhoynezhadUNKNOWN RESCUE investigators
Jan 23, 2015·Case Reports in Emergency Medicine·Andrew Fu Wah HoSohil Pothiawala
May 10, 2016·The Journal of Emergency Medicine·Ronald M BilowJohn H Harris
Jun 3, 2016·Journal of Surgical Case Reports·John Alfred Carr
Jul 28, 2016·Journal of Vascular Surgery·Sagar S GandhiChristopher G Carsten
Jul 13, 2016·Seminars in Cardiothoracic and Vascular Anesthesia·Talal Al-Atassi, Ali Khoynezhad
Mar 2, 2018·Abdominal Radiology·Richard TsaiVincent M Mellnick
Sep 20, 2018·VASA. Zeitschrift für Gefässkrankheiten·Elizabeth L ChouMatthew J Eagleton
Apr 18, 2019·Vascular and Endovascular Surgery·Julia D Glaser, Venkat R Kalapatapu
Mar 12, 2019·The Journal of Cardiovascular Surgery·Anna N Romagnoli, Joseph Dubose
Mar 10, 2016·The Journal of Trauma and Acute Care Surgery·Matthew R SmedsAhsan T Ali
Apr 30, 2020·The International Journal of Cardiovascular Imaging·Ganesh KasinadhuniRajesh Vijayvergiya
Oct 3, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Harit KapoorMarianna Zagurovskaya
Mar 3, 2017·Surgical Case Reports·Atsushi GuntaniShinsuke Mii
Jan 13, 2017·Cardiovascular and Interventional Radiology·Prashant NagpalAshish Khandelwal
Dec 21, 2019·Wiener medizinische Wochenschrift·Thomas SchachnerStefan Jochberger
Jun 23, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Rachel Elizabeth PayneDomenico Calcaterra
Dec 1, 2020·Vascular and Endovascular Surgery·António Pereira-NevesJosé Teixeira
Nov 9, 2019·Journal of Vascular Surgery·Brian Matthew SheehanJeffry Nahmias
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
Sep 6, 2020·Journal of Vascular Surgery·Abhisekh MohapatraMohammad H Eslami
Mar 30, 2019·Journal of Vascular Surgery·Elina QuirogaNiten Singh

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