Operative Repair or Stent/graft in Blunt Traumatic Thoracic Aortic Injuries: Results of a Multicenter Aast Study
نویسندگان
چکیده
Demetrios Demetriades MD, PhD, George Velmahos MD, PhD, Thomas M. Scalea MD, Gregory J. Jurkovich MD, Pedro Teixera MD, James V. O’Connor MD, Riyad Karmy-Jones MD, Mark R. Hemmila MD, Forrest O. Moore MD, Jason London MD, Michael Sugrue MD, Michael J. Singh MD, Konstantinos Spaniolas MD, Marius Keel MD, Jonathan Hill MD, Mathew Wall MD, Ernest E. Moore MD, Alvaro Razur MD, Daniel Margulies MD, Valerie Malka MD, AAST Multi Institutional Trial Committee
منابع مشابه
Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study.
INTRODUCTION The purpose of this American Association for the Surgery of Trauma multicenter study is to assess the early efficacy and safety of endovascular stent grafts (SGs) in traumatic thoracic aortic injuries and compare outcomes with the standard operative repair (OR). PATIENTS Prospective, multicenter study. Data for the following were collected: age, blood pressure, and Glasgow Coma S...
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Traumatic rupture of the thoracic aorta is a life-threatening lesion and it occurs in 10 to 30% of fatalities from blunt thoracic trauma and is the second most common cause of death after head injury. Immediate surgery is often characterized by a high mortality and morbidity rate. Delayed repair of traumatic aortic injuries has significant survival benefits and a much lower mortality rate compa...
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BACKGROUND Endovascular surgery has recently been extended to the treatment of blunt traumatic aortic injuries. Since most of these injuries occur at the aortic isthmus, graft fixation in proximity to the origin of the left subclavian artery (LSA) has been a concern. Covering the LSA with graft fabric lengthens the proximal fixation site and should minimize proximal endoleaks. We therefore wish...
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BACKGROUND Untreated traumatic aortic transection carries a mortality rate higher than 85%. Standard therapy has been open repair via a left thoracotomy with systemic heparin and is associated with a high risk of paralysis. We reviewed our experience of endoluminal stent-graft repair for treatment of acute traumatic thoracic aortic transection. METHODS Between February 2001 and February 2005,...
متن کاملEndovascular stent-graft for blunt thoracic aortic rupture: a novel and useful approach in selected cases.
' 2003 Canadian Medical Association Blunt thoracic aortic rupture (BTAR) is a life-threatening injury that is responsible for 15% to 23% of deaths from motor vehicle crashes. Most victims die at the scene from exsanguination, but 15% to 20% reach the hospital alive because the rupture is contained by the aortic adventitia and the surrounding mediastinal structures. Up to 80% of patients with BT...
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تاریخ انتشار 2007