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- W2034821475 abstract "Objectives: Historically thoracic aortic rupture secondary to trauma was treated with cardiopulmonary bypass and open surgery. With the advent of endovascular grafting, physicians have the ability to reconstruct the thoracic aortic transection using a less invasive technique. In this study, we examine our experience with stent graft repair of thoracic transections secondary to trauma. Methods: Records of patients treated at a level 1 trauma center were reviewed from 2006-2008. Those patients who had an aortic transection identified were evaluated for in-hospital mortality and morbidity as well as concurrent injuries. Demographics, procedural details, and outcomes were analyzed. Results: During a 3-year period, 19 thoracic aortic transections secondary to trauma were identified in patients with a mean age of 44 years (range, 19-80 years). Primary technical success was 100%. None of the patients required explant or open repair. In-hospital mortality was 1 of 19 (5%); 18 patients had multiple trauma, including long-bone fractures. The subclavian artery origin was covered by the stent graft in nine patients. The mean estimated blood loss per procedure was 205 mL. No patient in this series suffered postoperative paraplegia. Follow-up averaged 10 months (range, 1-38 months). No late explantation or device failures have been identified. Conclusion: Vascular repair of traumatic thoracic aortic transections can be performed safely, with a low mortality and morbidity, and should be the procedure of choice for patients presenting with traumatic thoracic aortic ruptures." @default.
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- W2034821475 date "2010-02-01" @default.
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- W2034821475 title "The Vascular Repair of Aortic Transection Secondary to Trauma: A Safe and Effective Method in Patients with Complicated Injuries" @default.
- W2034821475 doi "https://doi.org/10.1016/j.jvs.2009.10.060" @default.
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