- 作者：M. Ashraf Mansour ; M.D. ; Ashraf.mansour@spectrum-health.org ; Jeffrey S. Kirk ; M.D. ; Robert F. Cuff ; M.D. ; Shonda L. Banegas ; D.O. ; Gavin M. Ambrosi ; B.S. ; Timothy H. Liao ; M.D. ; Christopher M. Chambers ; M.D. ; Ph.D. ; Peter Y. Wong ; M.D. ; John C. Heiser ; M.D.
- 关键词：Thoracic aorta ; Injury ; Endovascular repair
- 刊名：The American Journal of Surgery
- 出版年：2012
- 期刊代码：9_00029610
- 类别：med
- 出版时间：March, 2012
- 卷：203
- 期：3
- 页码：401-404
- 文件大小：148 K
Background
Patients with thoracic aorta injuries (TAI) present a unique challenge. The purpose of this study was to review the outcomes of thoracic endovascular aortic repair (TEVAR) in patients with TAI.Methods
A retrospective chart review of all patients admitted for TEVAR for trauma was performed.
Results
In a 5-year period, 19 patients (6 women and 13 men; average age, 42 y) were admitted to our trauma center with TAI. Mechanism of injury was a motor vehicle crash in 12 patients, motorcycle crash in 2 patients, automobile-pedestrian accident in 2 patients, 1 fall, 1 crush injury, and 1 stab wound to the back. A thoracic endograft was used in 6 patients and proximal aortic cuffs were used in 13 patients (68%). One patient (5%) died. There were no strokes, myocardial infarctions, paraplegia, or renal failure.
Conclusions
TEVAR for TAI appears to be a safe option for patients with multiple injuries. TEVAR in young patients is still controversial because long-term endograft behavior is unknown.