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http://dx.doi.org/10.5090/kjtcs.2012.45.6.390

Traumatic Aortic Injury: Single-center Comparison of Open versus Endovascular Repair  

Cho, Jun Woo (Department of Cardiovascular and Thoracic Surgery, Catholic University of Daegu School of Medicine)
Kwon, Oh Choon (Department of Cardiovascular and Thoracic Surgery, Catholic University of Daegu School of Medicine)
Lee, Sub (Department of Cardiovascular and Thoracic Surgery, Catholic University of Daegu School of Medicine)
Jang, Jae Seok (Department of Cardiovascular and Thoracic Surgery, Catholic University of Daegu School of Medicine)
Publication Information
Journal of Chest Surgery / v.45, no.6, 2012 , pp. 390-395 More about this Journal
Abstract
Background: Conventional open repair is a suboptimal therapy for blunt traumatic aortic injury (BTAI) due to the high postoperative mortality and morbidity rates. Recent advances in the thoracic endovascular repair technique may improve outcomes so that it becomes an attractive therapeutic option. Materials and Methods: From August 2003 to March 2012, 21 patients (mean age, 45.81 years) with BTAI were admitted to our institution. Of these, 18 cases (open repair in 11 patients and endovascular repair in 7 patients) were retrospectively reviewed and the early perioperative results of the two groups were compared. Results: Although not statistically significant, there was a trend toward the reduction of mortality in the endovascular repair group (18.2% vs. 0%). There were no cases of paraplegia or endoleak. Statistically significant reductions in heparin dosage, blood loss, and transfusion amounts during the operations and in procedure duration were observed. Conclusion: Compared with open repair, endovascular repair can be performed with favorable mortality and morbidity rates. However, relatively younger patients who have acute aortic arch angulation and a small aortic diameter may be a therapeutic challenge. Improvements in graft design, delivery sheaths, and graft durability are the cornerstone of successful endovascular repair.
Keywords
Endovascular stent; Trauma; Aorta;
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