Mid-term Results of Conservative, Conventional and Endovascular Treatment for Acute Traumatic Aortic Lesions

Abstract

Hemodynamic stability and an individual treatment strategy are prerequisites for survival of acute traumatic aortic lesions. Endovascular stent-graft placement has emerged as an innovative and minimally invasive therapeutic option in this polytraumatic high-risk patient cohort.

Open versus endovascular repair of acute aortic transections—a non-randomized single-center analysis

“…Mortality rates after TEVAR for TAT vary between 0% and 14.2% and are thus in line with our reported results [7,[15][16][17]. Although retrospective series have shown a reduced mortality of TEVAR versus OR, most singlecenter studies, such as ours, failed to show a statistical significance due to the relatively small patient cohorts [6,[18][19][20]. Only recently, two meta-analyses could prove a statistically significant reduced perioperative mortality in endovascular-treated patients compared to open repair [4,17].…”

“…Thus, besides conservative treatment, thoracic endovascular aortic repair (TEVAR) emerged as an alternative treatment modality in these patients [5][6][7][8]. TEVAR is minimal invasive, avoids one-lung ventilation, aortic cross-clamping, and systemic heparinization, which should potentially result in reduced mortality and morbidity [4].…”

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

“…Early in the experience, patients were selected for TEVAR based on contraindications to open repair for a high a risk of mortality from comorbidity and associated injuries; over time, 11 of 16 centers that described indications broadened the application to all patients with suitable anatomy (6,22,29,31,32,34,36,37,(41)(42)(43)45). In one institution, TEVAR was reserved for those with concomitant brain injury (39).…”

The influence of gender on mortality in patients after thoracic endovascular aortic repair

“…Thoracic endovascular aortic repair (TEVAR) is gaining increased popularity for the repair of various acute and chronic thoracic aortic pathologies [1][2][3][4][5][6]. Mid-term results have been encouraging and several analyses have shown risk factors for durability and survival such as arch involvement, length of landing zones, and number of prostheses [3,7,8].…”