6 +/- 30.3 minutes, MM, 253 +/- 65.3 minutes), aortic injury grade (SR, 2.7 +/- 0.1; MM, 2.3 +/- 0.2), and injury severity score were not significantly different between the groups.
Head Abbreviated Injury Score (AIS) was worse in the MM group, while chest MS was worse in the SR group (P < .05). There were nine (42.9%) deaths in the MM group, while there were only two (5.7%) in the SR group (P < .001). There was no significant difference in aortic-related mortality. Mean follow-up time was not statistically different.
Conclusion:These data provide a group of stable patients to examine the management of TAI in the endovascular era. The low aortic-related Panobinostat manufacturer mortality in the MM group demonstrates that there is time for a thorough evaluation PF-562271 in patients sustaining TAI who arrive without hernodynamic instability. (J Vase Surg 2010;52:884-90.)”
“Purpose: Historically thoracic aortic rupture secondary to trauma was treated with cardiopulmonary bypass and open surgery. With the advent of endovascular grafting, physicians
have the ability to reconstruct the thoracic aortic transection using a less invasive technique. In this study, we examine our experience with stent graft repair of thoracic transections secondary to trauma.
Methods: The medical records of patients treated at a level I trauma center from 2005 to 2008 were reviewed. Those patients who had an aortic transection treated with an endograft were identified and evaluated for in-hospital mortality and morbidity and concurrent injuries. Demographics, procedural details, and outcomes were analyzed.
Results: Over a 3-year period, 18 thoracic aortic transections secondary to trauma were identified in patients with a mean age of 43 (range, 16-80). Primary technical success was 100%. None of the
patients required explant or open repair during this time period. In-hospital mortality was 2 of 18 (11%); all patients had multiple trauma including SB273005 purchase long bone fractures. The subclavian artery origin was covered by the stent graft in 9 of the 18 patients. The mean estimated blood loss per procedure was 222 cc. No patient in this series had postoperative paraplegia. Follow-up ranged from 1 to 50 months with an average of 13 months. There have been no late explantation or device failures identified.
Conclusion: Endovascular repair of traumatic thoracic aortic transections can be performed safely with a relatively low mortality and morbidity and should be the procedure of choice for patients presenting with traumatic thoracic aortic ruptures. (J Vase Surg 2010;52:891-6.)”
“Background: Level I evidence shows conventional carotid endarterectomy (CEA) with patch angioplasty results in lower rates of restenosis. However, whether this information has affected practice patterns and outcomes in real-world vascular surgery settings is unclear.