Journal ArticleDOI
Long-term outcomes of thoracic endovascular aortic repair: A single institution's 11-year experience.
Megan Brenner,William A. Teeter,Muhammed Hadud,Melanie Hoehn,James V. O’Connor,Deborah M. Stein,Thomas M. Scalea +6 more
TLDR
TEVAR continues to be a feasible treatment modality for blunt traumatic aortic injury with minimal and early device and procedure-specific complications, and long-term outcomes suggest that it may be at least comparable to open repair.Abstract:
BACKGROUNDThoracic endovascular aortic repair (TEVAR) has largely replaced traditional open aortic repair for anatomically suitable lesions, however, long-term outcomes are unknown.METHODSAll patients who underwent TEVAR from December 2004 to October 2015 at a single tertiary care institution were iread more
Citations
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Journal ArticleDOI
Endovascular Repair of Blunt Thoracic Aortic Trauma is Associated With Increased Left Ventricular Mass, Hypertension, and Off-target Aortic Remodeling.
Alexey Kamenskiy,Alexey Kamenskiy,Paul Aylward,Anastasia Desyatova,Anastasia Desyatova,Matthew DeVries,Christopher S. Wichman,Jason N. MacTaggart +7 more
TL;DR: TEVAR is associated with LV mass increase, development of hypertension, and accelerated expansile remodeling of the ascending aorta and may be even more important in older patients with other aortic pathologies and diminished baseline cardiac function.
Journal ArticleDOI
Utilization of endovascular and open surgical repair in the United States: A 10-year analysis of the National Trauma Databank (NTDB).
TL;DR: The use of endovascular modalities to repair arterial injuries in the setting of acute trauma is increasing in a dramatic fashion and is associated with shorter length of stay and improved survival compared to open vascular procedures.
Journal ArticleDOI
Identification of unique characteristics and the management of blunt traumatic aortic injuries occurring at unusual locations in the descending thoracic aorta.
TL;DR: BTAI in the distal zone of DTA are associated with unique characteristics that are more frequently associated with thoracic spine fractures, more common in women, less likely to require intervention, and seem to have a higher mortality owing to other associated traumatic injuries.
Journal ArticleDOI
Efficacy and Safety of Heparinization before Deployment of Endograft for Blunt Traumatic Aortic Injury in Severely Injured Patients.
Vladimir Makaloski,Hannah Widenka,Florian Schönhoff,Konstantinos Spanos,Thomas R. Wyss,Jürg Schmidli +5 more
TL;DR: In this article, the authors report the early outcomes of patients undergoing thoracic endovascular aortic repair (TEVAR) for BTAI, and assess the individualized intraoperative use and dose of UFH.
Journal ArticleDOI
Intraoperative heparin use is associated with reduced mortality without increasing hemorrhagic complications after thoracic endovascular aortic repair for blunt aortic injury.
Vy T. Ho,Elizabeth L. George,Kara A. Rothenberg,Jason T. Lee,Manuel Garcia-Toca,Jordan R. Stern +5 more
TL;DR: Intraoperative heparin use is associated with reduced inpatient mortality in patients undergoing during TEVAR for BTAI, including those with major head or neck trauma and high injury severity scores, and should be administered when no specific contraindication exists.
References
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Journal ArticleDOI
Prospective study of blunt aortic injury: Multicenter trial of the American Association for the Surgery of Trauma
Timothy C. Fabian,J. David Richardson,Martin A. Croce,J. Stanley Smith,George H. Rodman,Paul A. Kearney,William Flynn,Arthur L. Ney,John B. Cone,Fred A. Luchette,David H. Wisner,Donald J. Scholten,Bonnie L. Beaver,Alasdair K. T. Conn,Robert Coscia,David B. Hoyt,John A. Morris,J. Duncan Harviel,Andrew B. Peitzman,Raymond P. Bynoe,Daniel L. Diamond,Matthew J. Wall,Jonathan D. Gates,Juan A. Asensio,Mary C. McCarthy,Murray J. Girotti,Mary VanWijngaarden,Thomas H. Cogbill,Marc A. Levison,Charles Aprahamian,John E. Sutton,C. F. Allen,Erwin F. Hirsch,Kimberly K. Nagy,Ben L. Bachulis,Charles R. Bales,Marc J. Shapiro,Michael H. Metzler,Vincent R. Conti,Christopher C. Baker,Michael P. Bannon,M. Gage Ochsner,Michael H. Thomason,Jonathan R. Hiatt,Keith F. O'Malley,Farouck N. Obeid,Perry Gray,Paul E. Bankey,M. Margaret Knudson,Donna Lynn Dyess,Blaine L. Enderson +50 more
TL;DR: Although newer diagnostic techniques are being applied, at this time aortography remains the diagnostic standard; bypass techniques, which provide distal aortic perfusion, produced significantly lower paraplegia rates than the clamp and sew approach.
Journal ArticleDOI
Endovascular repair of traumatic thoracic aortic injury: clinical practice guidelines of the Society for Vascular Surgery.
W. Anthony Lee,Jon S. Matsumura,R. Scott Mitchell,Mark A. Farber,Roy K. Greenberg,Ali Azizzadeh,Mohammad Hassan Murad,Ronald M. Fairman +7 more
TL;DR: It is suggested that endovascular repair of thoracic aortic transection is associated with better survival and decreased risk of spinal cord ischemia, renal injury, graft, and systemic infections compared with open repair or nonoperative management.
Journal ArticleDOI
Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: Results of an American Association for the Surgery of Trauma multicenter study
Demetrios Demetriades,George C. Velmahos,Thomas M. Scalea,Gregory J. Jurkovich,Riyad Karmy-Jones,Pedro G.R. Teixeira,Mark R. Hemmila,James V. O’Connor,Mark McKenney,Forrest O. Moore,Jason A. London,Michael J. Singh,Edward Lineen,Konstantinos Spaniolas,Marius Keel,Michael Sugrue,Wendy L. Wahl,Jonathan Hill,Mathew J. Wall,Ernest E. Moore,Daniel R. Margulies,Valerie Malka,Linda S. Chan +22 more
TL;DR: SG is associated with significantly lower mortality and fewer blood transfusions, but there is a considerable risk of serious device-related complications, and a major and urgent need for improvement of the available endovascular devices.
Journal ArticleDOI
Traumatic thoracic aortic aneurysm: treatment with endovascular stent-grafts.
Noriuki Kato,Michael D. Dake,D. C. Miller,Charles P. Semba,R S Mitchell,Mahmood K. Razavi,Stephen T. Kee +6 more
TL;DR: Transluminal placement of endovascular stent-grafts is a technically feasible method for treatment of traumatic thoracic aortic aneurysm and may be an effective alternative to open-chest surgery.
Journal ArticleDOI
Diagnosis and treatment of blunt thoracic aortic injuries: changing perspectives.
Demetrios Demetriades,George C. Velmahos,Thomas M. Scalea,Gregory J. Jurkovich,Riyad Karmy-Jones,Pedro G.R. Teixeira,Mark R. Hemmila,James V. O’Connor,Mark McKenney,Forrest O. Moore,Jason A. London,Michael J. Singh,Konstantinos Spaniolas,Marius Keel,Michael Sugrue,Wendy L. Wahl,Jonathan Hill,Mathew J. Wall,Ernest E. Moore,Edward Lineen,Daniel R. Margulies,Valerie Malka,Linda S. Chan +22 more
TL;DR: Comparisons between the two AAST studies in 1997 and 2007 showed a major shift in the diagnosis of the aortic injury, with the widespread use of CT scan and the almost complete elimination of aortography and TEE.
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Prospective study of blunt aortic injury: Multicenter trial of the American Association for the Surgery of Trauma
Timothy C. Fabian,J. David Richardson,Martin A. Croce,J. Stanley Smith,George H. Rodman,Paul A. Kearney,William Flynn,Arthur L. Ney,John B. Cone,Fred A. Luchette,David H. Wisner,Donald J. Scholten,Bonnie L. Beaver,Alasdair K. T. Conn,Robert Coscia,David B. Hoyt,John A. Morris,J. Duncan Harviel,Andrew B. Peitzman,Raymond P. Bynoe,Daniel L. Diamond,Matthew J. Wall,Jonathan D. Gates,Juan A. Asensio,Mary C. McCarthy,Murray J. Girotti,Mary VanWijngaarden,Thomas H. Cogbill,Marc A. Levison,Charles Aprahamian,John E. Sutton,C. F. Allen,Erwin F. Hirsch,Kimberly K. Nagy,Ben L. Bachulis,Charles R. Bales,Marc J. Shapiro,Michael H. Metzler,Vincent R. Conti,Christopher C. Baker,Michael P. Bannon,M. Gage Ochsner,Michael H. Thomason,Jonathan R. Hiatt,Keith F. O'Malley,Farouck N. Obeid,Perry Gray,Paul E. Bankey,M. Margaret Knudson,Donna Lynn Dyess,Blaine L. Enderson +50 more