Endovascular Repair of Thoracic Aorta Injury: 17 Years of Single-Center Experience

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F21%3AA2202CUH" target="_blank" >RIV/61988987:17110/21:A2202CUH - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.12659/MSM.934479" target="_blank" >http://dx.doi.org/10.12659/MSM.934479</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.12659/MSM.934479" target="_blank" >10.12659/MSM.934479</a>

Result language

angličtina

Original language name

Endovascular Repair of Thoracic Aorta Injury: 17 Years of Single-Center Experience

Original language description

Background: Traumatic thoracic aortic transection is one of the most severe complications of high-energy injuries, but pa-tients rarely receive treatment, and it is fatal in the vast majority of cases. Due to the complexity of surgical revision for transection, endovascular repair with stent graft implantation is the preferred approach. Material/Methods: We retrospectively analyzed the short-term and long-term treatment results for 31 patients (29 men, 2 wom-en) treated at the Interventional Radiology Department, University Hospital Ostrava, for the isthmus part of a descending thoracic aorta injury between 2004 and 2020. Results: The median patient age was 48 years (interquartile range [IQR]: 28-63 years). The most common causes of in-jury were traffic accidents and falls or jumps, with the trauma location at the Ishimaru zones 2 to 4 of the aor-tic isthmus. Aortic stent grafts were successfully implanted in all patients; 13% of patients had complications and 10% died due to the trauma severity. The median procedure duration was 30 min (IQR: 25-43 min) and the median hospital stay was 29 days (IQR: 28-63 days). Conclusions: Aortic stent graft implantation appears to be a safe and effective method for dealing with thoracic aorta inju-ry, with a low complication rate and high patient survival. The endovascular approach is the method of choice for treating this severe disease, and a multidisciplinary approach for emergency medical treatment with a com-prehensive trauma protocol is essential.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30100 - Basic medicine

Project

<a href="/en/project/EF17_049%2F0008441" target="_blank" >EF17_049/0008441: Innovative therapeutic methods of musculoskeletal system in accident surgery</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

MEDICAL SCIENCE MONITOR

ISSN

1643-3750

e-ISSN

1643-3750

Volume of the periodical

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Issue of the periodical within the volume

21

Country of publishing house

US - UNITED STATES

Number of pages

9

Pages from-to

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UT code for WoS article

000719103500001

EID of the result in the Scopus database

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