Background
Methods
Tevar procedure
Follow up
Statistical analysis
Results and discussion
Characteristics | |
---|---|
Age, y | |
Mean ± SD | 36.9 ± 10.3 |
Median (range) | 18-53 |
Male | 9 (81.81 %) |
Female | 2 (18.18 %) |
Hypertension | 1 |
Chronic obstructive pulmonary disease (COPD) | 1 |
Gastrointestinal conditions | 0 |
Paraplegia | 0 |
Congestive heart failure | 0 |
Diabetes | 1 |
Stroke | 0 |
Renal insufficiency | 0 |
Myocardial infarction | 1 |
Characteristic | |
---|---|
Mechanism of blunt aortic injury | |
Vehicle accidents | 9 (81.81 %) |
Pedestrian hit by motor vehicles | 1 (9.09 %) |
Fall | 1 (9.09 %) |
Extent of aortic injury | |
Grade I: intimal tear | 0 (0 %) |
Grade II: intramural hematoma | 1 (9.09 %) |
Grade III: aortic pseudoaneurysm | 9 (81.81 %) |
Grade IV: free rupture | 1 (9.09 %) |
Location of aortic injury | |
Isthmus (just distal to the left subclavian artery to the third intercostals artery) | 11 (100 %) |
Distal descending thoracic aorta | 0 (0 %) |
Associated traumatic injuries | |
Lung injury (pneumothorax) | 3 (27.27 %) |
Unstable fracture cervical spine | 1 (9.09 %) |
Rib fracture | 11 (100 %) |
Sternum fracture | 2 (18.18 %) |
Related injury (solid organ, bowel, bladder, or diaphragm injury) | |
Pleural effusion | 7 (63.63 %) |
Testicle fracture | 1 (9.09 %) |
Spleen fracture | 4 (36.36 %) |
Contained rupture of bowel | 1 (9.09 %) |
Apache –II score | |
11-15 | 2 (18.18 %) |
16-20 | 3 (27.27 %) |
26-30 | 4 (36.36 %) |
>30 | 2 (18.18 %) |
Early outcomes
Complication | Early complications | Long term complications |
---|---|---|
No of patients | 11 | |
Paraplegia/paraparesis | 0 (0) | - |
Renal failure | 0 (0) | - |
Respiratory failure | 2 (18.2 %) | - |
Cardiac arrhythmias | - | |
Atrial Fibrillation | 3 (27.27 %) | |
Cerebrovascular accident | 0 (0) | - |
Bleeding/Pleural effusion | 1 (9.1 %) | - |
Reintervention | 0 (0) | - |
Vascular access-related complications | - | |
Wound dehiscence for infection | 1 (9.1 %) | |
Left Arm Claudication (clinical or instrumental) | 0 (0) | - |