The Role of Surgical and Endovascular Repair of Blunt Traumatic Aortic Injury in the Modern Era: A Single-Center Experience
Objective: To evaluate the efficacy of chest x-ray (CXR) in blunt traumatic aortic injury (BTAI) as a primaryimaging tool in trauma patients.Methods: We retrospectively reviewed our hospital records for blunt thoracic aortic injury patients who had atherapeutic intervention from January 2015 to Febr...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2022-07-01
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| Series: | Bulletin of Emergency and Trauma |
| Subjects: | |
| Online Access: | https://beat.sums.ac.ir/article_48535_cfdc690e0dd0d28d13cffb520a21e280.pdf |
| _version_ | 1818507602911297536 |
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| author | Hamed Ghoddusi Johari Seyed Arman Moein Ahmad Hosseinzadeh Javad Kojuri Amirhossein Roshanshad Reza Shahriarirad |
| author_facet | Hamed Ghoddusi Johari Seyed Arman Moein Ahmad Hosseinzadeh Javad Kojuri Amirhossein Roshanshad Reza Shahriarirad |
| author_sort | Hamed Ghoddusi Johari |
| collection | DOAJ |
| description | Objective: To evaluate the efficacy of chest x-ray (CXR) in blunt traumatic aortic injury (BTAI) as a primaryimaging tool in trauma patients.Methods: We retrospectively reviewed our hospital records for blunt thoracic aortic injury patients who had atherapeutic intervention from January 2015 to February 2021. Patients’ characteristics, initial chest x-rays, andcomputed tomography (CT) scan were extracted and re-evaluated.Results: Eighteen patients matched the criteria of our research. The mean age and the injury severity score(ISS) was 29.8±11.2 and 38.4±14.4, respectively. Seven patients (38.9%) underwent thoracic endovascularaortic repair (TEVAR), and 11 (61.1%) had open surgery. The TEVAR group had significantly lower meanintensive care unit stay days (6.6±3.9 vs. 10.8±6.9 in open aortic repair (OAR), p<0.05). The percentile ofpatients requiring blood transfusion was significantly lower in the TEVAR group (57% vs. 100% in OAR,p<0.05). Mediastinal widening (66.7%) was the most common finding during the evaluation of initial chestx-rays. Interestingly, 22.2% of the initial x-rays were not remarkable for BTAI.Conclusion: TEVAR is an advantageous choice in the management of BTAI. However, open aortic repair is theoptimal decision in certain situations. It is suggested that the Interventional management of the BTAI must beperformed by experienced vascular surgeons in a medical center capable of both OAR and TEVAR. |
| first_indexed | 2024-12-10T22:20:31Z |
| format | Article |
| id | doaj.art-bda6d4f3315848beb3854cfbda7412d2 |
| institution | Directory Open Access Journal |
| issn | 2322-2522 2322-3960 |
| language | English |
| last_indexed | 2024-12-10T22:20:31Z |
| publishDate | 2022-07-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Bulletin of Emergency and Trauma |
| spelling | doaj.art-bda6d4f3315848beb3854cfbda7412d22022-12-22T01:31:20ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602022-07-0110310310910.30476/beat.2022.94343.133548535The Role of Surgical and Endovascular Repair of Blunt Traumatic Aortic Injury in the Modern Era: A Single-Center ExperienceHamed Ghoddusi Johari0Seyed Arman Moein1Ahmad Hosseinzadeh2Javad Kojuri3Amirhossein Roshanshad4Reza Shahriarirad5Trauma Research Center, Thoracic and Vascular Surgery Research center, Shiraz University of Medical Sciences, Shiraz, IranThoracic and Vascular Surgery Research center, Shiraz University of Medical Sciences, Shiraz, IranThoracic and Vascular Surgery Research center, Shiraz University of Medical Sciences, Shiraz, IranCardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, IranStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, IranThoracic and Vascular Surgery Research center, Shiraz University of Medical Sciences, Shiraz, IranObjective: To evaluate the efficacy of chest x-ray (CXR) in blunt traumatic aortic injury (BTAI) as a primaryimaging tool in trauma patients.Methods: We retrospectively reviewed our hospital records for blunt thoracic aortic injury patients who had atherapeutic intervention from January 2015 to February 2021. Patients’ characteristics, initial chest x-rays, andcomputed tomography (CT) scan were extracted and re-evaluated.Results: Eighteen patients matched the criteria of our research. The mean age and the injury severity score(ISS) was 29.8±11.2 and 38.4±14.4, respectively. Seven patients (38.9%) underwent thoracic endovascularaortic repair (TEVAR), and 11 (61.1%) had open surgery. The TEVAR group had significantly lower meanintensive care unit stay days (6.6±3.9 vs. 10.8±6.9 in open aortic repair (OAR), p<0.05). The percentile ofpatients requiring blood transfusion was significantly lower in the TEVAR group (57% vs. 100% in OAR,p<0.05). Mediastinal widening (66.7%) was the most common finding during the evaluation of initial chestx-rays. Interestingly, 22.2% of the initial x-rays were not remarkable for BTAI.Conclusion: TEVAR is an advantageous choice in the management of BTAI. However, open aortic repair is theoptimal decision in certain situations. It is suggested that the Interventional management of the BTAI must beperformed by experienced vascular surgeons in a medical center capable of both OAR and TEVAR.https://beat.sums.ac.ir/article_48535_cfdc690e0dd0d28d13cffb520a21e280.pdfsurgicalendovascularrepairblunt traumatic aortic injury (btai)thoracic endovascular aortic repair (tevar)trauma |
| spellingShingle | Hamed Ghoddusi Johari Seyed Arman Moein Ahmad Hosseinzadeh Javad Kojuri Amirhossein Roshanshad Reza Shahriarirad The Role of Surgical and Endovascular Repair of Blunt Traumatic Aortic Injury in the Modern Era: A Single-Center Experience Bulletin of Emergency and Trauma surgical endovascular repair blunt traumatic aortic injury (btai) thoracic endovascular aortic repair (tevar) trauma |
| title | The Role of Surgical and Endovascular Repair of Blunt Traumatic Aortic Injury in the Modern Era: A Single-Center Experience |
| title_full | The Role of Surgical and Endovascular Repair of Blunt Traumatic Aortic Injury in the Modern Era: A Single-Center Experience |
| title_fullStr | The Role of Surgical and Endovascular Repair of Blunt Traumatic Aortic Injury in the Modern Era: A Single-Center Experience |
| title_full_unstemmed | The Role of Surgical and Endovascular Repair of Blunt Traumatic Aortic Injury in the Modern Era: A Single-Center Experience |
| title_short | The Role of Surgical and Endovascular Repair of Blunt Traumatic Aortic Injury in the Modern Era: A Single-Center Experience |
| title_sort | role of surgical and endovascular repair of blunt traumatic aortic injury in the modern era a single center experience |
| topic | surgical endovascular repair blunt traumatic aortic injury (btai) thoracic endovascular aortic repair (tevar) trauma |
| url | https://beat.sums.ac.ir/article_48535_cfdc690e0dd0d28d13cffb520a21e280.pdf |
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