Document Detail

Mid-term results of conservative, conventional and endovascular treatment for acute traumatic aortic lesions.
MedLine Citation:
PMID:  16376116     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: To analyze our results after conservative, conventional and endovascular treatment for acute traumatic aortic lesions during the last decade. METHODS: From June 1993 to September 2004, a total of 19 patients with traumatic aortic lesions were referred to our department. All patients sustained injuries from blunt deceleration trauma. In hemodynamically stable patients, initial evaluation was by multi-slice CT scan. The diagnosis of traumatic aortic injury was confirmed and an individual treatment strategy was determined. In hemodynamically unstable patients, emergency thoracotomy was performed. RESULTS: An emergency thoracotomy was performed in seven (37%) patients. Mortality in this group was 100%. In the remaining group of 12 (63%) patients without hemodynamic instability at time of admission, in-hospital mortality was 0%. Treatment was surgical in five patients (26%), endovascular in five (26%) and conservative in two patients (11%). Mean follow-up was 63 months (5-108 months). No patient died during follow-up. In patients treated by endovascular stent-graft placement no signs of endoleaks could be detected. CONCLUSIONS: Hemodynamic stability and an individual treatment strategy are prerequisites for survival of acute traumatic aortic lesions. Endovascular stent-graft placement has emerged as an innovative and minimally invasive therapeutic option in this polytraumatic high-risk patient cohort.
P Stampfl; M Greitbauer; D Zimpfer; T Fleck; M Schoder; J Lammer; E Wolner; M Grimm; V Vécsei; M Czerny
Related Documents :
15854926 - Pathologic characteristics and surgical indications of superacute type a intramural hem...
10573506 - Aortic balloon dilatation for congenital aortic stenosis: report of 90 cases (1986-98).
2216006 - Haemodynamics and 'optimal' hydration in aortic cross clamping.
12940696 - Recoarctation and patients' freedom from re-intervention--a study of patients undergoin...
11355256 - Hemolysis after mitral valve replacement with mechanical valve prostheses.
25296696 - Co-administration of gnrh-agonist and hcg for final oocyte maturation (double trigger) ...
Publication Detail:
Type:  Journal Article     Date:  2005-12-22
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  31     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-04-24     Completed Date:  2006-06-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  475-80     Citation Subset:  IM    
Department of Traumatology, University of Vienna Medical School, Vienna, Austria.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Aorta / injuries*
Blood Vessel Prosthesis Implantation*
Follow-Up Studies
Injury Severity Score
Middle Aged
Treatment Outcome
Vasodilator Agents / therapeutic use*
Wounds, Nonpenetrating / therapy*
Reg. No./Substance:
0/Vasodilator Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Cognitive disruption and altered hippocampus synaptic function in Reelin haploinsufficient mice.
Next Document:  Plasma D-lactate as a potential early marker for colon ischaemia after open aortic reconstruction.