ORIGINAL ARTICLE   

Italian Journal of Vascular and Endovascular Surgery 2017 September;24(3):89-92

DOI: 10.23736/S1824-4777.17.01291-8

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Open versus endovascular repair for the patients with acute traumatic injury of thoracic aorta

Jin Y. JHAN ^{1, 2}, Jui C. CHANG ^{1, 2}, Bee S. CHANG ^{1, 2}, Shen F. CHAO ^{1, 2}, Yi-Tso CHENG ^{1, 2} ✉

¹ Department of Surgery, Buddhist Tzu Chi General Hospital, Hualien, Taiwan; ² Department of Cardiothoracic Surgery, Buddhist Tzu Chi General Hospital, Hualien, Taiwan

BACKGROUND: Traumatic aortic injury (TAI) is a common cause of death after blunt trauma. Surgical treatment is considered for severe TAI. However, traditional open surgical repair (OR) has been recognized with high mortality and morbidity. Thoracic endovascular aortic repair (TEVAR) is an alternative choice for patients with TAI. The purpose of this retrospective study was to compare outcomes between open and endovascular repair for the patients with traumatic aortic injury in Buddhist Tzu-Chi General Hospital.
METHODS: We collected the patients with traumatic aortic injury who received surgical repair in Buddhist Tzu-Chi General Hospital. This is a single center, retrospective study, from January 1, 1995 to December 31, 2015. Past history, laboratory examinations, image study and surgical outcomes were included in this study.
RESULTS: Twenty patients were enrolled in this study, including open repair (N.=9) and endovascular repair (N.=11) respectively. No differences in age, gender, underlying disease, or Injury Severity Score between two groups are found. In-hospital mortality show higher in OR group (22.2%) compared with TEVAR group (0%). There are no differences in intubation time, ICU admission days or hospital days (excluded mortality cases).
CONCLUSIONS: TEVAR for TAI appears to have better outcome when compared with OR. Endovascular repair is becoming as first-line therapy for TAI. The development of the devices will make supplement to wider range of patients with TAI

KEY WORDS: Endovascular procedures - Aorta - Injuries