Emergency endovascular stent graft repair for acute blunt thoracic aortic injury: a retrospective case control study

Broux, C.; Thony, F.; Chavanon, Olivier; Bach, Vincent; Hacini, Rachid; Sengel, Christian; Blin, Dominique; Lavagne, P.; P, Girardet; Jacquot, C.

doi:10.1007/s00134-006-0115-8

Cited by 38 publications

(27 citation statements)

References 16 publications

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“…Patients diagnosed by emergent thoracotomy or who died in the emergency department before intervention were excluded or categorized separately (6,30,33,36,37,39,41).…”

Section: Methods Of the Cohort Publicationsmentioning

confidence: 99%

Endovascular Stent-Graft or Open Surgical Repair for Blunt Thoracic Aortic Trauma: Systematic Review

Hoffer

Forauer

Silas

et al. 2008

Journal of Vascular and Interventional Radiology

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“…Patients diagnosed by emergent thoracotomy or who died in the emergency department before intervention were excluded or categorized separately (6,30,33,36,37,39,41).…”

Section: Methods Of the Cohort Publicationsmentioning

confidence: 99%

Endovascular Stent-Graft or Open Surgical Repair for Blunt Thoracic Aortic Trauma: Systematic Review

Hoffer

Forauer

Silas

et al. 2008

Journal of Vascular and Interventional Radiology

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“…Todos los trabajos revisados concluyen que este tratamiento es tan eficaz como la cirugía abierta 4,5,14,15 . Esta técnica permite evitar las complicaciones asociadas a la anticoagulación con heparina en pacientes con hemorragia intraparenquimatosa.…”

Section: Discussionunclassified

“…Algunos autores realizan la colocación de la endoprótesis bajo anticoagulación con heparina 4,14 . A nuestros pacientes no se les realizó dicho tratamiento por riesgo de sangrado.…”

Section: Discussionunclassified

“…El manejo médico se centra en el control estricto de la tensión arterial dando prioridad al tratamiento de las lesiones asociadas que comprometan la vida. La colocación de un stent de forma percutánea permite los mismos resultados que con la cirugía abierta, pero con menos complicaciones asociadas, y mejores resultados que cuando el manejo es exclusi- vamente médico 4 . Según los estudios realizados, es controvertido el momento idóneo de la intervención 5 .…”

Section: Introductionunclassified

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Manejo del traumatismo de aorta torácica en cinco pacientes politraumatizados

et al. 2008

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El traumatismo de aorta torácica es una lesión asociada a una alta morbimortalidad en el lugar del accidente. En los años noventa se generalizó el tratamiento mediante la colocación de un stent endovascular con buenos resultados. En este trabajo presentamos una serie de cinco casos clíni-cos de pacientes ingresados en la Unidad de Cuidados Intensivos de nuestro hospital durante el año 2006. De un total de 619 pacientes ingresados en el mismo periodo, 121 (19,5%) fueron traumá-ticos y 5 (4,13%) sufrían traumatismos de aorta torácica. Todos los pacientes fueron diagnosticados por tomografía computarizada helicoidal torácica al ingreso. Cuatro pacientes tenían un pseudoaneurisma de aorta y fueron intervenidos. Tres recibieron tratamiento endovascular dentro de las 36 primeras horas y el otro al vigesimoctavo día del ingreso. El quinto paciente presentó una lesión de la íntima y no se intervino. La evolución posterior fue buena en todos los casos.PALABRAS CLAVE: traumatismo de aorta torácica, tratamiento endovascular, politraumatismo. MANAGEMENT OF THORACIC AORTA TRAUMATISM IN 5 MULTIPLE TRAUMATIZED PATIENTSThoracic aorta traumatism is a lesion associated to high morbidity-mortality at the site of the accident. In the 90's, treatment by placement of an endovascular stent was generalized with good results. In this work, we present a series of 5 clinical cases of patients admitted to the Intensive Care Unit of our hospital during the year 2006. Out of a total of 619 patients admitted in the same period, 121 (19.5%) were traumatic and 5 (4.13%) had thoracic aorta traumatisms. All of the patients were diagnosed by thoracic helical computed tomography on admission. Four patients had a pseudoaneurism of the aorta and underwent an operation. Three received endovascular treatment within the first 36 hours and the fourth on day 28 of admission. The fifth patient had a lesion of the intima and was not operated on. Posterior evolution was good in all the cases. KEY WORDS: thoracic aorta traumatism, endovascular treatment, multiple traumatism.

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“…A certain subset of patients who are very high surgical risk by virtue of their advanced age or concomitant severe brain injury can be treated non-operatively with the percutaneous placement of an aortic stent graft under angiographic guidance. Early results from multiple authors using this approach are, so far, promising, although the long-term outcomes are not yet available for analysis (Santaniello et al, 2002;Broux et al, 2006;Hirose et al, 2006). However, many thoracic surgeons are increasingly using it over the standard, time-tested approach of the much more invasive left posterolateral thoracotomy with segmental aortic resection and repair using prosthetic vascular graft.…”

Section: Managementmentioning

confidence: 99%

Thoracic and neck trauma. Part three

Ursic

Curtis

2010

International Emergency Nursing

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Emergency endovascular stent graft repair for acute blunt thoracic aortic injury: a retrospective case control study

Abstract: Stent graft for emergency treatment of BAI is efficient and is associated with fewer complications than surgical treatment.

Cited by 38 publications

References 16 publications

Endovascular Stent-Graft or Open Surgical Repair for Blunt Thoracic Aortic Trauma: Systematic Review

Endovascular Stent-Graft or Open Surgical Repair for Blunt Thoracic Aortic Trauma: Systematic Review

Manejo del traumatismo de aorta torácica en cinco pacientes politraumatizados

Thoracic and neck trauma. Part three

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