Thoracic endovascular aortic repair for traumatic aortic injuries: insight from literature and practical recommendations
نویسندگان
چکیده
INTRODUCTION Thoracic endovascular aortic repair (TEVAR) for treatment of blunt traumatic injuries (BTAIs) is nowadays the gold standard technique in adult patients, replacing gradually use open (OR). Although randomized controlled trials will never be performed comparing TEVAR to OR BTAIs management, trauma and vascular societies guidelines today primarily recommend former BTAI patients with a suitable anatomy. The aim this review was describe past recent data published literature regarding pros cons BTAI, analyze some debated issues future perspectives. EVIDENCE ACQUISITION Preferred Reporting Items Systematic Reviews Meta-Analyses (PRISMA) Scale Assessment Narrative Review Articles (SANRA) were used obtain selected articles on BTAI. SYNTHESIS Young (<50 years) men most operated population. increased over years, progressive reduction mortality overall postoperative complication rates when compared OR. Lack information remains about percentage urgent cases. CONCLUSIONS considered choice patients. In case rupture (grade IV) mandatory, while intimal tear I) intramural hematoma II) can safely managed no operative management (NOM). Debate still ongoing grade III (pseudoaneurysms). Unfortunately, several aspects remain not yet clarified, including disease classification, type treat, timing (urgent versus elective), priority polytrauma pediatrics young
منابع مشابه
Endovascular Repair of Blunt Traumatic Thoracic Aortic Injuries
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ژورنال
عنوان ژورنال: Journal of Cardiovascular Surgery
سال: 2021
ISSN: ['0021-9509', '1827-191X']
DOI: https://doi.org/10.23736/s0021-9509.20.11580-5