| Endovascular repair of traumatic thoracic aortic tears. | |
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MedLine Citation:
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PMID: 22265092 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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M Ashraf Mansour; Jeffrey S Kirk; Robert F Cuff; Shonda L Banegas; Gavin M Ambrosi; Timothy H Liao; Christopher M Chambers; Peter Y Wong; John C Heiser |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-20 |
Journal Detail:
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Title: American journal of surgery Volume: - ISSN: 1879-1883 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Surgery, Spectrum Health Medical Group, 4069 Lake Dr. SE, Suite 312, Grand Rapids, MI 49546-8816, USA; Medical Education Partners, Grand Rapids, MI, USA; Michigan State University College of Human Medicine, Grand Rapids, MI, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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