Endovascular repair of traumatic thoracic aortic tears

M. Ashraf Mansour; Jeffrey S. Kirk; Robert F. Cuff; Shonda L. Banegas; Gavin M. Ambrosi; Timothy H. Liao; Christopher M. Chambers; Peter Y. Wong; John C. Heiser

doi:10.1016/j.amjsurg.2011.10.008

Endovascular repair of traumatic thoracic aortic tears

M. Ashraf Mansour, Jeffrey S. Kirk, Robert F. Cuff, Shonda L. Banegas, Gavin M. Ambrosi, Timothy H. Liao, Christopher M. Chambers, Peter Y. Wong, John C. Heiser

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Background: Patients with thoracic aorta injuries (TAI) present a unique challenge. The purpose of this study was to review the outcomes of thoracic endovascular aortic repair (TEVAR) in patients with TAI. Methods: A retrospective chart review of all patients admitted for TEVAR for trauma was performed. Results: In a 5-year period, 19 patients (6 women and 13 men; average age, 42 y) were admitted to our trauma center with TAI. Mechanism of injury was a motor vehicle crash in 12 patients, motorcycle crash in 2 patients, automobile-pedestrian accident in 2 patients, 1 fall, 1 crush injury, and 1 stab wound to the back. A thoracic endograft was used in 6 patients and proximal aortic cuffs were used in 13 patients (68%). One patient (5%) died. There were no strokes, myocardial infarctions, paraplegia, or renal failure. Conclusions: TEVAR for TAI appears to be a safe option for patients with multiple injuries. TEVAR in young patients is still controversial because long-term endograft behavior is unknown.

Original language	English (US)
Pages (from-to)	401-404
Number of pages	4
Journal	American Journal of Surgery
Volume	203
Issue number	3
DOIs	https://doi.org/10.1016/j.amjsurg.2011.10.008
State	Published - Mar 2012
Externally published	Yes

Keywords

Endovascular repair
Injury
Thoracic aorta

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2011.10.008

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title = "Endovascular repair of traumatic thoracic aortic tears",

abstract = "Background: Patients with thoracic aorta injuries (TAI) present a unique challenge. The purpose of this study was to review the outcomes of thoracic endovascular aortic repair (TEVAR) in patients with TAI. Methods: A retrospective chart review of all patients admitted for TEVAR for trauma was performed. Results: In a 5-year period, 19 patients (6 women and 13 men; average age, 42 y) were admitted to our trauma center with TAI. Mechanism of injury was a motor vehicle crash in 12 patients, motorcycle crash in 2 patients, automobile-pedestrian accident in 2 patients, 1 fall, 1 crush injury, and 1 stab wound to the back. A thoracic endograft was used in 6 patients and proximal aortic cuffs were used in 13 patients (68%). One patient (5%) died. There were no strokes, myocardial infarctions, paraplegia, or renal failure. Conclusions: TEVAR for TAI appears to be a safe option for patients with multiple injuries. TEVAR in young patients is still controversial because long-term endograft behavior is unknown.",

keywords = "Endovascular repair, Injury, Thoracic aorta",

author = "Mansour, {M. Ashraf} and Kirk, {Jeffrey S.} and Cuff, {Robert F.} and Banegas, {Shonda L.} and Ambrosi, {Gavin M.} and Liao, {Timothy H.} and Chambers, {Christopher M.} and Wong, {Peter Y.} and Heiser, {John C.}",

year = "2012",

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doi = "10.1016/j.amjsurg.2011.10.008",

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pages = "401--404",

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AU - Mansour, M. Ashraf

AU - Kirk, Jeffrey S.

AU - Cuff, Robert F.

AU - Banegas, Shonda L.

AU - Ambrosi, Gavin M.

AU - Liao, Timothy H.

AU - Chambers, Christopher M.

AU - Wong, Peter Y.

AU - Heiser, John C.

PY - 2012/3

Y1 - 2012/3

N2 - Background: Patients with thoracic aorta injuries (TAI) present a unique challenge. The purpose of this study was to review the outcomes of thoracic endovascular aortic repair (TEVAR) in patients with TAI. Methods: A retrospective chart review of all patients admitted for TEVAR for trauma was performed. Results: In a 5-year period, 19 patients (6 women and 13 men; average age, 42 y) were admitted to our trauma center with TAI. Mechanism of injury was a motor vehicle crash in 12 patients, motorcycle crash in 2 patients, automobile-pedestrian accident in 2 patients, 1 fall, 1 crush injury, and 1 stab wound to the back. A thoracic endograft was used in 6 patients and proximal aortic cuffs were used in 13 patients (68%). One patient (5%) died. There were no strokes, myocardial infarctions, paraplegia, or renal failure. Conclusions: TEVAR for TAI appears to be a safe option for patients with multiple injuries. TEVAR in young patients is still controversial because long-term endograft behavior is unknown.

AB - Background: Patients with thoracic aorta injuries (TAI) present a unique challenge. The purpose of this study was to review the outcomes of thoracic endovascular aortic repair (TEVAR) in patients with TAI. Methods: A retrospective chart review of all patients admitted for TEVAR for trauma was performed. Results: In a 5-year period, 19 patients (6 women and 13 men; average age, 42 y) were admitted to our trauma center with TAI. Mechanism of injury was a motor vehicle crash in 12 patients, motorcycle crash in 2 patients, automobile-pedestrian accident in 2 patients, 1 fall, 1 crush injury, and 1 stab wound to the back. A thoracic endograft was used in 6 patients and proximal aortic cuffs were used in 13 patients (68%). One patient (5%) died. There were no strokes, myocardial infarctions, paraplegia, or renal failure. Conclusions: TEVAR for TAI appears to be a safe option for patients with multiple injuries. TEVAR in young patients is still controversial because long-term endograft behavior is unknown.

KW - Endovascular repair

KW - Injury

KW - Thoracic aorta

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Endovascular repair of traumatic thoracic aortic tears

Abstract

Keywords

ASJC Scopus subject areas

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