This Article Full Text (PDF) All Versions of this Article: 1553350609335277v1 16/2/147    most recent References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Scopus Google Scholar Articles by Bjurlin, M. A. Articles by Merlotti, G. J. PubMed PubMed Citation Articles by Bjurlin, M. A. Articles by Merlotti, G. J. Social Bookmarking                         What's this?

Endovascular Stent Graft Treatment of Acute Thoracic Aortic Transections Due to Blunt Force Trauma

Division of Traumay, St. James Hospital and Health Centers, Midwestern University, Olympia Fields, Illinois

Eugene M. Tanquilut, DO

Division of Vascular Surgery Department of Surgery, St. James Hospital and Health Centers, Midwestern University, Olympia Fields, Illinois

Aswath Subram, MD

Division of Vascular Surgery Department of Surgery, St. James Hospital and Health Centers, Midwestern University, Olympia Fields, Illinois

Peggy Kalkounos, DO

Division of Traumay, St. James Hospital and Health Centers, Midwestern University, Olympia Fields, Illinois

Gary J. Merlotti, MD

Division of Traumay, St. James Hospital and Health Centers, Midwestern University, Olympia Fields, Illinois, merlotti{at}uic.edu

Endovascular stent graft treatment of acute thoracic aortic transections is an encouraging minimally invasive alternative to open surgical repair. Between 2006 and 2008, 16 patients with acute thoracic aortic transections underwent evaluation at our institution. Seven patients who were treated with an endovascular stent graft were reviewed. The mean Glasgow Coma Score was 13.0, probability of survival was .89, and median injury severity score was 32. The mean number of intensive care unit days was 7.7, mean number of ventilator support days was 5.4, and hospital length of stay was 10 days. Mean blood loss was 285 mL, and operative time was 143 minutes. Overall mortality was 14%. Procedure complications were a bleeding arteriotomy site and an endoleak. Endovascular treatment of traumatic thoracic aortic transections appears to demonstrate superior results with respect to mortality, blood loss, operative time, paraplegia, and procedure-related complications when compared with open surgical repair literature.

Key Words: endovascular stent graft • thoracic aortic transection • blunt trauma

This version was published on June 1, 2009

Surgical Innovation, Vol. 16, No. 2, 147-154 (2009)
DOI: 10.1177/1553350609335277


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?