Timing of repair of blunt thoracic aortic injuries in the thoracic endovascular aortic repair era

Thoracic endovascular aortic repair (TEVAR) is the preferred operative treatment of blunt thoracic aortic injuries (BTAIs). Its use is associated with improved outcomes compared with open surgical repair and nonoperative management. However, the optimal time from injury to repair is unknown and rema...

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Bibliographic Details
Published in:Journal of vascular surgery 2021-03, Vol.73 (3), p.896-902
Main Authors: Alarhayem, Abdul Q., Rasmussen, Todd E., Farivar, Behzad, Lim, Sungho, Braverman, Max, Hardy, David, Jenkins, Donald J., Eastridge, Brian J., Cestero, Ramon F.
Format: Article
Language:English
Subjects:
TEVAR
Thoracic aortic injury
Vascular injury
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Summary:Thoracic endovascular aortic repair (TEVAR) is the preferred operative treatment of blunt thoracic aortic injuries (BTAIs). Its use is associated with improved outcomes compared with open surgical repair and nonoperative management. However, the optimal time from injury to repair is unknown and remains a subject of debate across different societal practice guidelines. The purpose of this study was to evaluate national trends in the management of BTAI, with a specific focus on the impact of timing of repair on outcomes. Using the National Trauma Data Bank, we identified adult patients with BTAI between 2012 and 2017. Patients with prehospital or emergency department cardiac arrest or incomplete data sets were excluded from analysis. Patients were classified according to timing of repair: group 1, 
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2020.05.079