Endovascular Stent Graft Treatment of Acute Thoracic Aortic Transections Due to Blunt Force Trauma

Bjurlin, Marc A.; Tanquilut, Eugene M.; Subram, Aswath; Kalkounos, Peggy; Merlotti, Gary J.

doi:10.1177/1553350609335277

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…However, following the advances of utilizing stent graft repair of abdominal and thoracic aneurysm disease, practitioners have expanded the indication to utilize a stent graft for traumatic aortic injury. [15][16][17][18] Retrospective experiences have shown successful use of TEVAR in emergency conditions. 14,15,17 In this retrospective analysis of a national data set, the overall hospital mortality after surgical intervention was 10.8%.…”

Section: Discussionmentioning

confidence: 99%

“…[15][16][17][18] Retrospective experiences have shown successful use of TEVAR in emergency conditions. 14,15,17 In this retrospective analysis of a national data set, the overall hospital mortality after surgical intervention was 10.8%. Significant differences were found when comparing the two modalities, and the use of TEVAR was found to have a lower mortality rate in this study.…”

Section: Discussionmentioning

confidence: 99%

“…15–18 Retrospective experiences have shown successful use of TEVAR in emergency conditions. 14,15,17…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Thoracic Aortic Trauma: Outcomes and Hospital Resource Utilization after Endovascular and Open Repair

Mousa¹,

Dombrovskiy²,

Haser³

et al. 2010

Vascular

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Thoracic endovascular aortic repair (TEVAR) has evolved as a treatment option for the management of thoracic aortic trauma as an alternative to open thoracic aortic repair (OTAR). Population-level outcomes are not known and were evaluated. Secondary data analysis of the 2005-2006 Nationwide Inpatient Sample data was performed, and 1,561 patients with thoracic aortic injury (mean age 44.8 +/- 18.8 years; men 77.2%) were identified. Of these, 510 underwent emergent surgical intervention: 240 OTAR (47%) and 270 TEVAR (53%). Males were more likely to undergo any surgery (77.2% vs 22.8%; p = .03). Hospital mortality after OTAR was greater compared to TEVAR (14.61% vs 7.43%; p = .009). OTAR patients were more likely to have pulmonary complications (37.8% vs 21.65; p < .0001) but were less likely to have stroke (2.1% vs 5.8%; p = .03) compared to TEVAR patients. After adjustment, OTAR patients remained more likely to die compared to TEVAR patients (OR 11.5; 95% CI 4.0-33.2). Hospital length of stay and hospital cost were significantly greater for OTAR than for TEVAR. An increase in patients with thoracic aortic injury undergoing repair was found (23.0% vs 40.3%; p < .0002). In trauma, TEVAR was associated with decreased hospital mortality, hospital use, and pulmonary complications but increased rates of stroke. Further implementation of TEVAR for management of thoracic aortic trauma may improve future outcomes and reduce hospital resource use.

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