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Mid-term outcomes of endovascular repair for traumatic thoracic aortic injury: a single-center experience

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Purpose

Thoracic endovascular aortic repair (TEVAR) for traumatic thoracic aortic injury (TTAI) reports short-term benefits. However, long-term durability and the need of reintervention remain unclear. Here, we determined mid-term outcome of TEVAR for TTAI and investigated the influence of the length of proximal landing zone on aorta.

Methods

Between October 2009 and February 2018, 69 patients diagnosed TTAI and 42 included patients underwent TEVAR. Patients were divided into two groups by the length of proximal landing zone; ≤ 20 mm and > 20 mm. The primary endpoint was success and survival rate, and the secondary endpoint was the increase of aorta size and the need of reintervention.

Results

The mean follow-up period was 47.9 ± 29.6 months and 100% success rate. No endoleaks or additional reinterventions during the follow-up period. The cumulative survival of all-cause death was 90.5 ± 2.3%, 85.7 ± 4.1% and 61.7 ± 8.4% at 1, 5 and 7 years, respectively. There was no statistically significant difference in the increase of aorta size due to the length of the proximal landing zone (p = 0.65).

Conclusion

In selective TTAI patients for TEVAR, the length of proximal landing zone did not considerably influence the aorta size or needed further reintervention.

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Acknowledgements

We certify that this report is our own work and all sources of information used in this report have been fully acknowledged.

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Authors and Affiliations

  1. Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu, Republic of Korea

    Shin-Ah Son, Hanna Jung, Joon Yong Cho, Tak-Hyuk Oh, Young Woo Do & Gun-Jik Kim

  2. Trauma Center, Department of Surgery, Kyungpook National University Hospital, Daegu, Republic of Korea

    Kyoung Hoon Lim

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  1. Shin-Ah Son
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  2. Hanna Jung
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Correspondence to Gun-Jik Kim.

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Son, SA., Jung, H., Cho, J.Y. et al. Mid-term outcomes of endovascular repair for traumatic thoracic aortic injury: a single-center experience. Eur J Trauma Emerg Surg 45, 965–972 (2019). https://doi.org/10.1007/s00068-019-01166-6

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  • DOI: https://doi.org/10.1007/s00068-019-01166-6

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