Endovascular repair of traumatic thoracic aortic tears

被引：5

作者：

Mansour, M. Ashraf ^{[1
]}

Kirk, Jeffrey S.

Cuff, Robert F.

Banegas, Shonda L.

Ambrosi, Gavin M.

Liao, Timothy H.

Chambers, Christopher M.

Wong, Peter Y.

Heiser, John C.

机构：

[1] Spectrum Hlth Med Grp, Dept Surg, Grand Rapids, MI 49546 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2012年 / 203卷 / 03期

关键词：

Thoracic aorta; Injury; Endovascular repair; INJURY; SURGERY;

D O I：

10.1016/j.amjsurg.2011.10.008

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BACKGROUND: Patients with thoracic aorta injuries (TAI) present a unique challenge. The purpose of this study was to review the outcomes of thoracic endovascular aortic repair (TEVAR) in patients with TAI. METHODS: A retrospective chart review of all patients admitted for TEVAR for trauma was performed. RESULTS: In a 5-year period, 19 patients (6 women and 13 men; average age, 42 y) were admitted to our trauma center with TAI. Mechanism of injury was a motor vehicle crash in 12 patients, motorcycle crash in 2 patients, automobile-pedestrian accident in 2 patients, 1 fall, 1 crush injury, and 1 stab wound to the back. A thoracic endograft was used in 6 patients and proximal aortic cuffs were used in 13 patients (68%). One patient (5%) died. There were no strokes, myocardial infarctions, paraplegia, or renal failure. CONCLUSIONS: TEVAR for TAI appears to be a safe option for patients with multiple injuries. TEVAR in young patients is still controversial because long-term endograft behavior is unknown. (C) 2012 Elsevier Inc. All rights reserved.

引用

页码：401 / 404

页数：4

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