| 외상성 흉부 대동맥 손상 환자에서 시행한 혈관내 치료의 임상적 고찰 |
박영민1
, 왕일재1
, 염석란1
, 조영모1
, 박성욱1
, 조석주1
, 박시홍1
, 허업2
, 송승환2
, 김선희3
, 권훈4
, 이대섭5
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1부산대학교병원 응급의학과
2부산대학교병원 흉부외과
3부산대학교병원 외상외과
4부산대학교병원 영상의학과
5양산부산대학교병원 응급의학과 |
| Clinical analysis of endovascular management in blunt thoracic aortic injury |
| Youngmin Park1
, Il Jae Wang1
, Seok Ran Yeaom1
, Young Mo Cho1
, Sung Wook Park1
, Suck Ju Cho1
, Si Hong Park1
, Up Huh2
, Seunghwan Song2
, Seon Hee Kim3
, Hoon Kwon4
, Dae Sup Lee5
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1Department of Emergency Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
2Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
3Department of Trauma Surgery, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
4Department of Radiology, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
5Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea |
| Correspondence |
Il Jae Wang ,Tel: 051-240-7503, Fax: 051-253-6472, Email: jrmr9933@gmail.com,
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Received: August 28, 2021; Revised: October 6, 2021 Accepted: October 20, 2021. Published online: December 31, 2021. |
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| ABSTRACT |
Objective:
Blunt thoracic aortic injury (BTAI) is a rare but fatal injury. BTAI has been treated surgically, but thoracic endovascular aortic repair (TEVAR) is used as a treatment option and has shown good results. The purpose of this study was to analyze the outcomes of patients with BTAI treated using TEVAR.
Method:
BTAI patients who had received TEVAR for five years were analyzed. We investigated injury severity score, aortic injury site, computed tomography findings and mortality.
Results:
We identified 17 patients, and all were diagnosed using computed tomography. Twelve patients received TEVAR as an emergency, and the remaining five patients received TEVAR delayed. The most common injury site was isthmus (82%), and the median injury severity score was 33. There were 15 cases with a BTAI grade of 3 and two cases with a BTAI grade of 4. The mortality rate was 11.8% (n=2).
Conclusion:
TEVAR is more meaningful because it is easier and faster and has fewer complications than thoracotomy in patients with traumatic aortic injury. |
| Key words:
Aorta; Trauma; Endovascular; Mortality |
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