Review of short-term outcomes for TEVAR after blunt traumatic aortic injury

Mousa, Albeir Y.; Broce, Mike

doi:10.1097/ta.0000000000000659

Cited by 7 publications

(3 citation statements)

References 43 publications

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“…Rates of paraplegia after treatment for BTAI have been reported as 2.2–5.4% for patients who undergo operative repair, and 0–1.4% for those who undergo TEVAR 1, 2, 3. All comparative reports have suggested that paraplegia is less frequent with TEVAR than with open surgical repair.…”

Section: Discussionmentioning

confidence: 99%

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A case of paraplegia that developed 6 years after thoracic endovascular aortic repair for blunt traumatic aortic injury

Takahashi

Shoko

Taketazu

et al. 2017

Acute Medicine & Surgery

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CaseThoracic endovascular aortic repair (TEVAR) is becoming the standard therapy for blunt thoracic aortic injury (BTAI). However, the long‐term outcomes of TEVAR for BTAI remain unclear. A 36‐year‐old man was admitted to our emergency department with dyspnea. He had been involved in a serious traffic accident 6 years earlier, requiring TEVAR for BTAI.OutcomeAcute heart failure and pneumonia were diagnosed on this admission. His respiratory condition improved, but paraplegia developed 10 h after hospitalization. Magnetic resonance imaging showed an intraspinal longitudinal area of signal hyperintensity, and spinal cord infarction was diagnosed.ConclusionAlthough the causal relationship between the TEVAR and spinal cord infarction remains unclear, paraplegia as a long‐term complication after TEVAR does not appear to have been reported previously, and so represents a potentially important complication.

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Section: Discussionmentioning

confidence: 99%

“…Thoracic endovascular aortic repair (TEVAR) for blunt thoracic aortic injury (BTAI) offers lower rates of mortality and complications than open surgical repair 1, 2, 3. However, the long‐term outcomes of TEVAR for BTAI remain unclear.…”

Section: Introductionmentioning

confidence: 99%

A case of paraplegia that developed 6 years after thoracic endovascular aortic repair for blunt traumatic aortic injury

Takahashi

Shoko

Taketazu

et al. 2017

Acute Medicine & Surgery

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“…Among these associated thoracic injuries, the clinical signs and symptoms of blunt aortic injury (BAI) are nonspecific and are easy to be misdiagnosed in an acute trauma setting [8]. According to the literature, for those who survive and were taken to hospital, the estimated rate of mortality is 32%, of which one third died before operative intervention [9]. If the diagnosis is timely, it is reported that 60-80% of patients with BAI who arrive at the hospital alive will survive after receiving definite treatment [8].…”

Section: Introductionmentioning

confidence: 99%

Thoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics

Deng

Tang

et al. 2021

JCM

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Background: The coexistence of thoracic fractures and blunt aortic injury (BAI) is potentially catastrophic and easy to be missed in acute trauma settings. Data regarding patients with thoracic fractures complicated with BAI are limited. Methods: The authors conducted a prospective, observational, single-center study including patients with thoracic burst fractures. A multivariate logistic regression model was developed to determine the risk factors of aortic injury. Results: In total, 124 patients with burst fractures of the thoracic spine were included. The incidence of BAI was 11.3% (14/124) in patients with thoracic burst fractures. Among these patients, 11 patients with BAI were missed diagnoses. The main risk factors of BAI were as follows: Injury severity score (OR 1.184; 95% CI, 1.072–1.308; p = 0.001), mechanism of injury, such as crush (OR 10.474; 95% CI, 1.905–57.579; p = 0.007), flail chest (OR = 4.917; 95% CI, 1.122–21.545; p = 0.035), and neurological deficit (OR = 8.299; 95% CI, 0.999–68.933; p = 0.05). Conclusions: BAI (incidence 11.3%) is common in patients with burst fractures of the thoracic spine and is an easily missed diagnosis. We must maintain a high suspicion of injury for BAI when patients with thoracic burst fractures present with these high-risk factors.

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Symptomatic Intragraft Thrombus following Endovascular Repair of Blunt Thoracic Aortic Injury

Abdoli

Ham

Wilcox

et al. 2017

Annals of Vascular Surgery

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Review of short-term outcomes for TEVAR after blunt traumatic aortic injury

Cited by 7 publications

References 43 publications

A case of paraplegia that developed 6 years after thoracic endovascular aortic repair for blunt traumatic aortic injury

A case of paraplegia that developed 6 years after thoracic endovascular aortic repair for blunt traumatic aortic injury

Thoracic Spine Fractures with Blunt Aortic Injury: Incidence, Risk Factors, and Characteristics

Symptomatic Intragraft Thrombus following Endovascular Repair of Blunt Thoracic Aortic Injury

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