Endovascular repair of traumatic aortic injury: a novel arena in interventional cardiology. J Interv Cardiol 2013 Feb;26(1):77-83
Date
09/11/2012Pubmed ID
22958204DOI
10.1111/j.1540-8183.2012.00761.xScopus ID
2-s2.0-84874117279 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
OBJECTIVE: To assess the feasibility of endovascular repair of traumatic aortic injuries performed by interventional cardiologists in collaboration with cardiothoracic surgeons.
BACKGROUND: Traumatic aortic injury (TAI) represents a significant cause of mortality in trauma patients. Endovascular techniques have recently come into play for the management of TAI and are usually performed by a multidisciplinary team consisting of a thoracic or vascular surgeon and/or interventional radiology. With extensive expertise in catheter-based interventions, interventional cardiologists may have a pivotal role in this important procedure.
METHODS: From January 2009 to July 2011, we reviewed the TAI endovascular repair outcomes performed by a team of interventional cardiologists in collaboration with cardiothoracic surgery at our institution. The charts of these patients were reviewed to collect desired data, which included preoperative, procedural, and follow-up details.
RESULTS: Twenty patients were identified in our series. Most of these patients developed TAI from motor vehicle accidents. Technical success for endovascular repair of TAI was achieved in all patients. Two patients developed endoleak, of which one patient required subsequent open repair. Two patients expired in the hospital from coexistent injuries.
CONCLUSIONS: Our series of endovascular repair for TAI performed by interventional cardiologists with the collaboration of cardiothoracic surgeons showed excellent outcomes. Our experience may give further insight in the collaborative role of interventional cardiology and cardiothoracic surgery for endovascular repair of TAI.
Author List
Patel JH, Wayangankar SA, Zacharias S, Stowell D, Saucedo JFAuthor
Jorge Saucedo MD Chief, Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Aorta
Aortography
Blood Vessel Prosthesis Implantation
Feasibility Studies
Female
Humans
Male
Middle Aged
Patient Care Team
Retrospective Studies
Stents
Young Adult
