Injury to the Thoracic Aorta Following Fatal Blunt Trauma: An Autopsy Study

Chiara, Osvaldo; Cimbanassi, Stefania; Zoia, R.

doi:10.1007/s00068-008-8187-5

Cited by 4 publications

(2 citation statements)

References 22 publications

(29 reference statements)

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“…In our cohort, TEVAR was usually performed immediately after arrival at the emergency department, and no aorta-related death occurred. In cases of acute traumatic aortic transection, aortic pseudoaneurysms are contained within thin adventitia when viewed from the operating table, 13 and not within the outer media and adventitia as in cases of acute aortic dissection. Pain management and blood pressure control are strictly enforced; however, pseudoaneurysms with a thin membrane can easily rupture.…”

Section: Discussionmentioning

confidence: 99%

Thoracic Endovascular Repair for Acute Traumatic Transection of the Descending Thoracic Aorta and Postendovascular Remodeling Change

Kim

Yoon

et al. 2018

Thorac cardiovasc Surg

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TEVAR resulted in good early survival in patients with TTA. No late or stent graft-related event was encountered up to a maximum of 9 years after surgery. We recommend that patients with grade III or higher TTA should undergo emergency surgery. Moreover, we consider that long-term follow-up and blood pressure management are essential when the proximal aortic diameter is found to increase slightly after TEVAR on follow-up CT.

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Section: Discussionmentioning

confidence: 99%

Thoracic Endovascular Repair for Acute Traumatic Transection of the Descending Thoracic Aorta and Postendovascular Remodeling Change

Kim

Yoon

et al. 2018

Thorac cardiovasc Surg

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“…Chiara et al studying 199 consecutive autopsies, found out that BTai was present in 53/199 cases (26.6) and that it was the cause of death in 60 of them. 30 in a multicenter study involving 274 cases of blunt aortic injury, 81 percent were caused by automobile collisions. 10 other etiologies of blunt thoracic aortic injury include motorcycle and aircraft crashes, automobile versus pedestrian accidents, falls, and crush injury.…”

Section: Incidence and Prognosis Of Btaimentioning

confidence: 99%

Thoracic endovascular aortic repair for traumatic aortic injuries: insight from literature and practical recommendations

et al. 2021

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Thoracic endovascular aortic repair (TeVar) for treatment of blunt traumatic aortic injuries (BTais) is nowadays the gold standard technique in adult patients, replacing gradually the use of open repair (or). although randomized controlled trials will never be performed comparing TeVar to or for BTais invasive management, trauma and vascular societies guidelines today primarily recommend the former for BTai patients with a suitable anatomy. The aim of this review was to describe past and recent data published in literature regarding pros and cons of TeVar treatment in BTai, and to analyze some debated issues and future perspectives. eVideNCe aCQuisiTioN: Preferred reporting items for systematic reviews and Meta-analyses (PrisMa) guidelines and scale for the assessment of Narrative review articles (saNra) were used to obtain and describe selected articles on TeVar in BTai. eVideNCe syNThesis: young (<50 years) men were the most operated population. The use of TeVar increased over the years, with a progressive reduction in mortality and overall postoperative complication rates when compared with or. lack of information remain about the percentage of urgent cases. CoNClusioNs: TeVar is considered nowadays the treatment of choice in BTai patients. in case of aortic rupture (grade iV) the treatment is mandatory, while intimal tear (grade i) and intramural hematoma (grade ii) can be safely managed with no operative management (NoM). Debate is still ongoing on grade III (pseudoaneurysms). Unfortunately, several aspects remain not yet clarified, including disease classification, type and grade to treat, timing (urgent versus elective), priority of vascular injuries in polytrauma patients, and TeVar use in pediatrics and young patients.

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Concurrent Thoracic Endovascular Aortic Repair and Liver Transplant: Multidisciplinary Management of Multiple Posttraumatic Lesions

Domanin

Antonelli

Crotti

et al. 2021

Annals of Vascular Surgery

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Injury to the Thoracic Aorta Following Fatal Blunt Trauma: An Autopsy Study

Cited by 4 publications

References 22 publications

Thoracic Endovascular Repair for Acute Traumatic Transection of the Descending Thoracic Aorta and Postendovascular Remodeling Change

Thoracic Endovascular Repair for Acute Traumatic Transection of the Descending Thoracic Aorta and Postendovascular Remodeling Change

Thoracic endovascular aortic repair for traumatic aortic injuries: insight from literature and practical recommendations

Concurrent Thoracic Endovascular Aortic Repair and Liver Transplant: Multidisciplinary Management of Multiple Posttraumatic Lesions

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