TY - JOUR
T1 - Thoracic aortic transection treated by thoracic endovascular aortic repair
T2 - Predictors of survival
AU - Ryan, Mark
AU - Valazquez, Omaida
AU - Martinez, Eduardo
AU - Patel, Sheela
AU - Parodi, Juan
AU - Karmacharya, Jagajan
PY - 2010/2
Y1 - 2010/2
N2 - Background: We reviewed all patients presenting to our institution with a traumatic thoracic aortic injury (TTAI) between January 2006 and May 2007. Age, gender, injury severity score (ISS), location of injuries, surgical intervention, and length of stay were assessed to determine what characteristics might be predictive of survival. Of the 56 patients who were identified, 23 (41%) were dead on arrival, 15 (20%) died on that admission, and 18 (32%) survived to discharge. Injury severity score was elevated in mortalities (57) compared to survivors (34). Penetrating and blunt aortic injuries had 89% and 58% mortality rates, respectively. Female gender was associated with increased survival (P =.032), as was receiving surgical intervention (P =.03). Patients with a prolonged ICU stay demonstrated increased survival. All eight patients who received thoracic endovascular aortic repair survived to discharge. Injury severity score, mechanism, thoracic endovascular aortic repair (TEVAR), female gender, and surgical treatment were associated with survival after TTAI.
AB - Background: We reviewed all patients presenting to our institution with a traumatic thoracic aortic injury (TTAI) between January 2006 and May 2007. Age, gender, injury severity score (ISS), location of injuries, surgical intervention, and length of stay were assessed to determine what characteristics might be predictive of survival. Of the 56 patients who were identified, 23 (41%) were dead on arrival, 15 (20%) died on that admission, and 18 (32%) survived to discharge. Injury severity score was elevated in mortalities (57) compared to survivors (34). Penetrating and blunt aortic injuries had 89% and 58% mortality rates, respectively. Female gender was associated with increased survival (P =.032), as was receiving surgical intervention (P =.03). Patients with a prolonged ICU stay demonstrated increased survival. All eight patients who received thoracic endovascular aortic repair survived to discharge. Injury severity score, mechanism, thoracic endovascular aortic repair (TEVAR), female gender, and surgical treatment were associated with survival after TTAI.
KW - TEVAR
KW - Thoracic Aortic Injury
KW - Thoracic Endovascular Aortic Repair
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U2 - 10.1177/1538574409352808
DO - 10.1177/1538574409352808
M3 - Review article
C2 - 19917555
AN - SCOPUS:76049111618
SN - 1538-5744
VL - 44
SP - 95
EP - 100
JO - Vascular and Endovascular Surgery
JF - Vascular and Endovascular Surgery
IS - 2
ER -