Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Stampfl, P; Greitbauer, M; Zimpfer, D; Fleck, T; Schoder, M; Lammer, J; Wolner, E; Grimm, M; Vécsei, V; Czerny, M.
Mid-term results of conservative, conventional and endovascular treatment for acute traumatic aortic lesions.
Eur J Vasc Endovasc Surg. 2006; 31(5):475-80
Doi: 10.1016/j.ejvs.2005.11.006
Web of Science
PubMed
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- Co-authors Med Uni Graz
- Zimpfer Daniel
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- Abstract:
- 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.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult - administration & dosage
- Aged - administration & dosage
- Aged, 80 and over - administration & dosage
- Angioplasty - administration & dosage
- Aorta - injuries
- Blood Vessel Prosthesis Implantation - administration & dosage
- Female - administration & dosage
- Follow-Up Studies - administration & dosage
- Humans - administration & dosage
- Injury Severity Score - administration & dosage
- Male - administration & dosage
- Middle Aged - administration & dosage
- Thoracotomy - administration & dosage
- Treatment Outcome - administration & dosage
- Vasodilator Agents - therapeutic use
- Wounds, Nonpenetrating - therapy
- Find related publications in this database (Keywords)
- traumatic aortic rupture
- conventional aortic surgery
- endovascular stent-graft