Tratamiento endovascular de transecciones agudas de la aorta descendente

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dc.catalogadorjlo
dc.contributor.authorMarine Massa, Leopoldo Ario Fernando
dc.contributor.authorMertens Martin, Renato Alfonso
dc.contributor.authorValdés Echenique, José Francisco
dc.contributor.authorKramer Schumacher, Albrecht Helmuth
dc.contributor.authorBergoeing Reid, Michel Paul
dc.contributor.authorPlaza De Los Reyes Z., Miguel
dc.contributor.authorFernández S., Froilán
dc.date.accessioned2025-03-18T13:48:42Z
dc.date.available2025-03-18T13:48:42Z
dc.date.issued2011
dc.description.abstractBackground: Traumatic rupture of the thoracic aorta as a result from high-speed deceleration injury is associated with a mortality rate of 80% to 90% at the scene of the accident. Survivors usually have life-threatening injuries to other organ systems. Standard open repair is associated with a high perioperative morbidity and mortality. Endografting offers a less invasive alternative to open surgical repair. Aim: To evaluate results of endovascular management of acute traumatic descending thoracic aortic ruptures. Methods: Between August 2002 and March 2010, patients treated for this trauma were reviewed. Results: 16 patients (fourteen males mean age 42.7 +/- 15.8 years, range 24-74) underwent endovascular treatment of an acute aortic rupture. Associated traumas in fifteen patients were: severe brain (7), spleen (4), liver (1), kidney (3) and large bone (9) injuries. Motor vehicle accidents caused 13 of the injuries and fall from height 3. Rupture was diagnosed with admission CT scan and confirmed by intraoperative angiogram. Patients were treated with thoracic aortic endograft, in 11 cases the left subclavian artery was covered with no need for further revascularization. Technical success was 100%, no procedure-related mortality or paraplegia was observed. One patient died 5 days after the procedure due to severe associated injuries. During a mean follow-up of 30.8 months (range 1-80), no deaths, complications or need for further interventions presented. Conclusion: Endovascular treatment of acute traumatic aortic isthmic rupture is encouraging and compares favorably to open surgical approach with low morbidity and mortality rates.
dc.fechaingreso.objetodigital2025-03-18
dc.format.extent7 páginas
dc.fuente.origenWOS
dc.identifier.issn0379-3893
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/102721
dc.identifier.wosidWOS:000287117300004
dc.information.autorucEscuela de Medicina; Marine Massa, Leopoldo Ario Fernando; 0000-0002-2135-4559; 4085
dc.information.autorucEscuela de Medicina; Mertens Martin, Renato Alfonso; 0000-0001-6929-4850; 75745
dc.information.autorucEscuela de Medicina; Valdés Echenique, José Francisco; S/I; 23979
dc.information.autorucEscuela de Medicina; Kramer Schumacher, Albrecht Helmuth; S/I; 98256
dc.information.autorucEscuela de Medicina; Bergoeing Reid, Michel Paul; 0000-0002-8900-1645; 92603
dc.issue.numero1
dc.language.isoes
dc.nota.accesocontenido completo
dc.pagina.final27
dc.pagina.inicio21
dc.revistaRevista Chilena de Cirugía
dc.rightsacceso abierto
dc.subjectThoracic aorta
dc.subjectTraumatic rupture
dc.subjectEndovascular
dc.subjectEndograft
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleTratamiento endovascular de transecciones agudas de la aorta descendente
dc.title.alternativeEndovascular treatment of acute traumatic aortic rupture
dc.typeartículo
dc.volumen63
sipa.codpersvinculados4085
sipa.codpersvinculados75745
sipa.codpersvinculados23979
sipa.codpersvinculados98256
sipa.codpersvinculados92603
sipa.trazabilidadWOS;05-06-2021
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