| Traumatic aortic rupture: 30 years of experience. | |
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MedLine Citation:
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PMID: 21549915 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: To evaluate outcome differences in open surgical and endovascular treatment of traumatic aortic rupture (TAR) over a period of 30 years. METHODS: We retrospectively reviewed the diagnostic workup and management of all patients and compared outcome before and since the era of endovascular therapy. RESULTS: Between 1980 and 2010, 72 patients with a mean age of 38 years (range, 14-76) were treated for TAR. Of these, 48 (67%) were treated by open surgery and the remaining 24 (33%) by thoracic endovascular aortic repair (TEVAR). In the open surgery group, mortality was 16.7% and paraplegia occurred in 8.3% of patients, whereas mortality was 4.2% and no paraplegia occurred in the TEVAR group. Diagnostic workup consisted of chest X-ray and arteriography in the early period, whereas computed tomographic scan and transesophageal echography were preferred in the more recent period. CONCLUSIONS: Although our results could not reach statistical significance, mainly because of the gross oversizing of the open group in comparison with the TEVAR group, TEVAR has introduced a less invasive era in the treatment of TAR and has become the therapy of choice. The diagnostic workup has evolved from chest X-ray and arteriography to computed tomographic scanning and even transesophageal echography. |
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Authors:
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Malliet Cindy; Houthoofd Sabrina; Daenens Kim; Maleux Geert; Fourneau Inge |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of vascular surgery Volume: 25 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-05-09 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 474-80 Citation Subset: IM |
Copyright Information:
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Copyright © 2011. Published by Elsevier Inc. |
Affiliation:
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Department of Vascular Surgery, University Hospital Leuven, Leuven, Belgium. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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