Endovascular Stenting for Traumatic Aortic Injury: An Emerging New Standard of Care

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Background: Thoracic aortic injury remains a leading cause of death after blunt trauma. Thoracic aortic stents have the potential to treat aortic tears using a less invasive approach. We have accumulated the largest series of patients treated with blunt thoracic aortic injury over a 2-year period. Methods: From July 2005 to present, 26 patients presenting with blunt aortic injury were treated with thoracic aortic endografting; these patients were retrospectively compared with the prior 26 patients presenting with similar aortic injury who were treated by open surgical repair. A Severity Characterization of Trauma score calculated for each patient predicts mortality based on severity of injury and degree of physiologic derangement on presentation. Results: Patients treated with endografting had a significantly shorter length of stay, less intraoperative blood loss, decreased 24-hour blood transfusion, and lower incidence of postoperative tracheostomy compared with patients undergoing open repair. Survival in both groups was similar despite a trend toward higher injury severity among patients treated with endografting. Conclusions: This early experience suggests that aortic endografting may provide a safe and efficient treatment of aortic tears that cardiac surgeons can be successful in employing. © 2008 The Society of Thoracic Surgeons.




Moainie, S. L., Neschis, D. G., Gammie, J. S., Brown, J. M., Poston, R. S., Scalea, T. M., & Griffith, B. P. (2008). Endovascular Stenting for Traumatic Aortic Injury: An Emerging New Standard of Care. Annals of Thoracic Surgery, 85(5), 1625–1630. https://doi.org/10.1016/j.athoracsur.2008.01.094

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