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European Journal of Trauma and Emergency Surgery
Erschienen in:

15.01.2024 | Original Article

Readmission after thoracic endovascular aortic repair following blunt thoracic aortic injury

verfasst von: Anne-Sophie C. Romijn, Jefferson A. Proaño-Zamudio, Vinamr Rastogi, Sai Divya Yadavalli, Emanuele Lagazzi, Georgios F. Giannakopoulos, Marc L. Schermerhorn, Noelle N. Saillant

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 2/2024

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Abstract

Purpose

Thoracic endovascular aortic repair (TEVAR) is increasingly utilized to treat blunt thoracic aortic injury (BTAI), but post-discharge outcomes remain underexplored. We examined 90-day readmission in patients treated with TEVAR following BTAI.

Methods

Adult patients discharged alive after TEVAR for BTAI in the Nationwide Readmissions Database between 2016 and 2019 were included. Outcomes examined were 90-day non-elective readmission, primary readmission reasons, and 90-day mortality. As a complementary analysis, 90-day outcomes following TEVAR for BTAI were compared with those following TEVAR for acute type B aortic dissection (TBAD).

Results

We identified 2085 patients who underwent TEVAR for BTAI. The median age was 43 years (IQR, 29–58), 65% of all patients had an ISS ≥ 25, and 13% were readmitted within 90 days. The main primary causes for readmission were sepsis (8.8%), wound complications (6.7%), and neurological complications (6.5%). Two patients developed graft thrombosis as primary readmission reasons. Compared with acute TBAD patients, BTAI patients had a significantly lower rate of readmission within 90 days (BTAI vs. TBAD; 13% vs. 29%; p < .001).

Conclusion

We found a significant proportion of readmission in patients treated with TEVAR for BTAI. However, the 90-day readmission rate after TEVAR for BTAI was significantly lower compared with acute TBAD, and the common cause for readmission was not related to residual aortic disease or vascular devices. This represents an important distinction from other patient populations treated with TEVAR for acute vascular conditions. Elucidating differences between trauma-related TEVAR readmissions and non-traumatic indications better informs both the clinician and patients of expected post-discharge course.
Level of evidence/study type: IV, Therapeutic/care management.
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Metadaten
Titel
Readmission after thoracic endovascular aortic repair following blunt thoracic aortic injury
verfasst von
Anne-Sophie C. Romijn
Jefferson A. Proaño-Zamudio
Vinamr Rastogi
Sai Divya Yadavalli
Emanuele Lagazzi
Georgios F. Giannakopoulos
Marc L. Schermerhorn
Noelle N. Saillant
Publikationsdatum
15.01.2024
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Trauma and Emergency Surgery / Ausgabe 2/2024
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-023-02432-4

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