Late Radiological and Clinical Outcomes of Traumatic Thoracic Aortic Injury Managed with Thoracic Endovascular Aortic Repair

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dc.contributor.author Khashram, Manar en
dc.contributor.author He, Q en
dc.contributor.author Oh, TH en
dc.contributor.author Khanafer, A en
dc.contributor.author Wright, IA en
dc.contributor.author Vasudevan, TM en
dc.contributor.author Lo, ASN en
dc.contributor.author Roake, JA en
dc.contributor.author Civil, Ian en
dc.date.accessioned 2017-03-16T01:42:28Z en
dc.date.issued 2016-07 en
dc.identifier.citation World Journal of Surgery, July 2016, 40 (7), 1763 - 1770 en
dc.identifier.issn 0364-2313 en
dc.identifier.uri http://hdl.handle.net/2292/32201 en
dc.description.abstract Patients treated with thoracic endovascular aortic repair (TEVAR) for traumatic thoracic aortic injury (TTAI) are often young and data on long-term durability of this treatment is not widely documented. The aims of this study were to report the New Zealand (NZ) national experience of TEVAR and to assess the durability of late outcomes and radiological follow-up of patients treated for TTAI.Consecutive patients treated with TEVAR during a 12-year period from all tertiary centers in NZ were included. Early (30-day), late survival and radiological imaging data were recorded to document late graft-related complications and re-interventions.88 patients with a median (range) age of 35 (15-87) year and 63 (71.6 %) males were included. Eleven patients (12.5 %) died within 30 days, of which three were aortic related deaths. The median (range) follow-up was 76.3 (0.3-164.6) months. Six (7.8 %) patients died during the follow-up period due to non-aortic-related causes. Nine (11.5 %) patients were lost to follow-up of which three emigrated overseas. Of those on surveillance, two patients required TEVAR re-intervention to previously treated aortic segments; one for a type 1b endoleak and the other for a symptomatic pseudo-coarctation. Both were treated successfully with a TEVAR.This multicenter study suggests that TEVAR is a durable option for treatment of traumatic thoracic aortic injury. Although, stent graft complications were uncommon, but when it occurred, it leads to re-intervention. Further radiological follow-up is required particularly in young patient to document late aortic/stent complications. en
dc.description.uri https://www.ncbi.nlm.nih.gov/pubmed/26920406 en
dc.format.medium Print en
dc.language English en
dc.publisher Springer en
dc.relation.ispartofseries World Journal of Surgery en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0364-2313/ http://www.springer.com/gp/open-access/authors-rights/self-archiving-policy/2124 en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Late Radiological and Clinical Outcomes of Traumatic Thoracic Aortic Injury Managed with Thoracic Endovascular Aortic Repair en
dc.type Journal Article en
dc.identifier.doi 10.1007/s00268-016-3457-6 en
pubs.issue 7 en
pubs.begin-page 1763 en
pubs.volume 40 en
dc.description.version VoR - Version of Record en
dc.identifier.pmid 26920406 en
pubs.author-url https://link.springer.com/article/10.1007/s00268-016-3457-6 en
pubs.end-page 1770 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 524183 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Surgery Department en
dc.identifier.eissn 1432-2323 en
pubs.record-created-at-source-date 2017-03-16 en
pubs.online-publication-date 2016-02-26 en
pubs.dimensions-id 26920406 en


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