Outcomes of Endovascular Repair of Acute Thoracic Aortic Injury: Interrogation of the New Zealand Thoracic Aortic Stent Database (NZ TAS)

  • C.P. D
  • T.M. B
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Abstract

Objectives: Report the New Zealand national experience of endovascular repair of acute traumatic thoracic aortic injuries (TTAIs). Design: Retrospective analysis of the New Zealand thoracic aortic stent database between December 2001 and December 2007. Materials and methods: Of the 134 patients on the database, 27 patients (20%) underwent endovascular repair of TTAI. Data collected included age, sex, cause of injury, details of the procedure, complications and mortality. Results: Most patients were young, median age 20 (15-78), male (n = 19, 70%), and involved in motor vehicle accidents (n = 23, 85%). Median length of aorta stented was 117 mm (77-200 mm). Great vessel origins were covered intentionally in 23 (85%) patients, four (17%) requiring a hybrid procedure. Average procedure time was 98.3 min (35-180). Primary technical success was 96%, secondary technical success 100%. Endoleaks were observed in four (15%) patients, one requiring a second endovascular procedure. There were no conversions to open surgery. Procedure-related complications occurred in four (15%) patients. No patient developed cord injury. All cause mortality at 30 days is one (4%) and at discharge is two (7%) due to associated poly-trauma. Conclusion: Our results add further evidence of the safety of endovascular repair of thoracic aortic injury and compare favourably with those of other centres. © 2008 European Society for Vascular Surgery.

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C.P., D., & T.M., B. (2008). Outcomes of Endovascular Repair of Acute Thoracic Aortic Injury: Interrogation of the New Zealand Thoracic Aortic Stent Database (NZ TAS). European Journal of Vascular and Endovascular Surgery, 36(5), 530–534. https://doi.org/10.1016/j.ejvs.2008.07.009

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