Blunt thoracic aortic injury with small pseudoaneurysm may be managed by nonoperative treatment

Objective The efficacy of nonoperative management of blunt thoracic aortic injury (BTAI) was evaluated in patients with pseudoaneurysm. Methods A retrospective review was done for patients with BTAI at Fukui Prefectural Hospital during a 9-year period. Charts were reviewed for age, gender, Injury Se...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of vascular surgery 2016-02, Vol.63 (2), p.341-344
Hauptverfasser: Tanizaki, Shinsuke, MD, Maeda, Shigenobu, MD, Matano, Hideyuki, MD, Sera, Makoto, MD, Nagai, Hideya, MD, Nakanishi, Taizo, MD, Ishida, Hiroshi, MD
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 344
container_issue 2
container_start_page 341
container_title Journal of vascular surgery
container_volume 63
creator Tanizaki, Shinsuke, MD
Maeda, Shigenobu, MD
Matano, Hideyuki, MD
Sera, Makoto, MD
Nagai, Hideya, MD
Nakanishi, Taizo, MD
Ishida, Hiroshi, MD
description Objective The efficacy of nonoperative management of blunt thoracic aortic injury (BTAI) was evaluated in patients with pseudoaneurysm. Methods A retrospective review was done for patients with BTAI at Fukui Prefectural Hospital during a 9-year period. Charts were reviewed for age, gender, Injury Severity Score, Abbreviated Injury Scale for each body area, initial type of aortic injury, site of aortic injury, type of definitive management, complications, and outcomes. Results Eighteen patients with BTAI were treated at Fukui Prefectural Hospital. Of 18 patients with pseudoaneurysm, seven patients were hemodynamically unstable and four patients died because of associated injuries; there were no aortic-related deaths. All 14 surviving patients were followed up for an average of 40.9 months. Only two patients with pseudoaneurysm required operative management because of the progression of the pseudoaneurysm. The pseudoaneurysm/normal aortic diameter ratio of those with any intervention was higher than that of those with nonoperative management. Conclusions BTAI with pseudoaneurysm can be managed nonoperatively, with about 10% risk of progression to require surgical repair.
doi_str_mv 10.1016/j.jvs.2015.08.107
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1760921189</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0741521415019412</els_id><sourcerecordid>1760921189</sourcerecordid><originalsourceid>FETCH-LOGICAL-c521t-ffede62221cf877267b9b1863a760dcd5e60b576e419ecdd7a6b1730331c3f0a3</originalsourceid><addsrcrecordid>eNp9Uc1u1DAYtBCILoUH4IJ85JLFn7OxEyEhQcVPpUocCmfj2F-oQ2IvtrMob9Nn4cnwaksPHDiNNJoZfd8MIc-BbYGBeDVux0PacgbNlrWFkg_IBlgnK9Gy7iHZMLmDquGwOyNPUhoZA2ha-ZiccdEw0dXNhnx7Ny0-03wTojbOUB1iLuD8uMSV_nL5hqZZTxPdJ1xs0B4Ln2Y665X2WMDr72hpv1IffNhj1Nkd8PdtjqjzjD4_JY8GPSV8dofn5OuH918uPlVXnz9eXry9qkw5MFfDgBYF5xzM0ErJhey7HlpRaymYNbZBwfpGCtxBh8ZaqUUPsmZ1DaYemK7PyctT7j6GnwumrGaXDE5TOTksSUHJ6ThA2xUpnKQmhpQiDmof3azjqoCpY7FqVKVYdSxWsbZQsnhe3MUv_Yz23vG3ySJ4fRJgefLgMKpkHHqD1kU0Wdng_hv_5h-3mZx3Rk8_cMU0hiX60p4Clbhi6vq47HFYaBh0O-D1H4fYoFQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1760921189</pqid></control><display><type>article</type><title>Blunt thoracic aortic injury with small pseudoaneurysm may be managed by nonoperative treatment</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Tanizaki, Shinsuke, MD ; Maeda, Shigenobu, MD ; Matano, Hideyuki, MD ; Sera, Makoto, MD ; Nagai, Hideya, MD ; Nakanishi, Taizo, MD ; Ishida, Hiroshi, MD</creator><creatorcontrib>Tanizaki, Shinsuke, MD ; Maeda, Shigenobu, MD ; Matano, Hideyuki, MD ; Sera, Makoto, MD ; Nagai, Hideya, MD ; Nakanishi, Taizo, MD ; Ishida, Hiroshi, MD</creatorcontrib><description>Objective The efficacy of nonoperative management of blunt thoracic aortic injury (BTAI) was evaluated in patients with pseudoaneurysm. Methods A retrospective review was done for patients with BTAI at Fukui Prefectural Hospital during a 9-year period. Charts were reviewed for age, gender, Injury Severity Score, Abbreviated Injury Scale for each body area, initial type of aortic injury, site of aortic injury, type of definitive management, complications, and outcomes. Results Eighteen patients with BTAI were treated at Fukui Prefectural Hospital. Of 18 patients with pseudoaneurysm, seven patients were hemodynamically unstable and four patients died because of associated injuries; there were no aortic-related deaths. All 14 surviving patients were followed up for an average of 40.9 months. Only two patients with pseudoaneurysm required operative management because of the progression of the pseudoaneurysm. The pseudoaneurysm/normal aortic diameter ratio of those with any intervention was higher than that of those with nonoperative management. Conclusions BTAI with pseudoaneurysm can be managed nonoperatively, with about 10% risk of progression to require surgical repair.</description><identifier>ISSN: 0741-5214</identifier><identifier>EISSN: 1097-6809</identifier><identifier>DOI: 10.1016/j.jvs.2015.08.107</identifier><identifier>PMID: 26506935</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Aneurysm, False - diagnosis ; Aneurysm, False - mortality ; Aneurysm, False - physiopathology ; Aneurysm, False - therapy ; Aorta, Thoracic - diagnostic imaging ; Aorta, Thoracic - injuries ; Aorta, Thoracic - physiopathology ; Aorta, Thoracic - surgery ; Aortography - methods ; Disease Progression ; Female ; Hemodynamics ; Humans ; Injury Severity Score ; Japan ; Male ; Middle Aged ; Retrospective Studies ; Surgery ; Thoracic Injuries - diagnosis ; Thoracic Injuries - mortality ; Thoracic Injuries - physiopathology ; Thoracic Injuries - therapy ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome ; Vascular Surgical Procedures ; Vascular System Injuries - diagnosis ; Vascular System Injuries - mortality ; Vascular System Injuries - physiopathology ; Vascular System Injuries - therapy ; Wounds, Nonpenetrating - diagnosis ; Wounds, Nonpenetrating - mortality ; Wounds, Nonpenetrating - physiopathology ; Wounds, Nonpenetrating - therapy ; Young Adult</subject><ispartof>Journal of vascular surgery, 2016-02, Vol.63 (2), p.341-344</ispartof><rights>Society for Vascular Surgery</rights><rights>2016 Society for Vascular Surgery</rights><rights>Copyright © 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c521t-ffede62221cf877267b9b1863a760dcd5e60b576e419ecdd7a6b1730331c3f0a3</citedby><cites>FETCH-LOGICAL-c521t-ffede62221cf877267b9b1863a760dcd5e60b576e419ecdd7a6b1730331c3f0a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0741521415019412$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26506935$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanizaki, Shinsuke, MD</creatorcontrib><creatorcontrib>Maeda, Shigenobu, MD</creatorcontrib><creatorcontrib>Matano, Hideyuki, MD</creatorcontrib><creatorcontrib>Sera, Makoto, MD</creatorcontrib><creatorcontrib>Nagai, Hideya, MD</creatorcontrib><creatorcontrib>Nakanishi, Taizo, MD</creatorcontrib><creatorcontrib>Ishida, Hiroshi, MD</creatorcontrib><title>Blunt thoracic aortic injury with small pseudoaneurysm may be managed by nonoperative treatment</title><title>Journal of vascular surgery</title><addtitle>J Vasc Surg</addtitle><description>Objective The efficacy of nonoperative management of blunt thoracic aortic injury (BTAI) was evaluated in patients with pseudoaneurysm. Methods A retrospective review was done for patients with BTAI at Fukui Prefectural Hospital during a 9-year period. Charts were reviewed for age, gender, Injury Severity Score, Abbreviated Injury Scale for each body area, initial type of aortic injury, site of aortic injury, type of definitive management, complications, and outcomes. Results Eighteen patients with BTAI were treated at Fukui Prefectural Hospital. Of 18 patients with pseudoaneurysm, seven patients were hemodynamically unstable and four patients died because of associated injuries; there were no aortic-related deaths. All 14 surviving patients were followed up for an average of 40.9 months. Only two patients with pseudoaneurysm required operative management because of the progression of the pseudoaneurysm. The pseudoaneurysm/normal aortic diameter ratio of those with any intervention was higher than that of those with nonoperative management. Conclusions BTAI with pseudoaneurysm can be managed nonoperatively, with about 10% risk of progression to require surgical repair.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aneurysm, False - diagnosis</subject><subject>Aneurysm, False - mortality</subject><subject>Aneurysm, False - physiopathology</subject><subject>Aneurysm, False - therapy</subject><subject>Aorta, Thoracic - diagnostic imaging</subject><subject>Aorta, Thoracic - injuries</subject><subject>Aorta, Thoracic - physiopathology</subject><subject>Aorta, Thoracic - surgery</subject><subject>Aortography - methods</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Japan</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Thoracic Injuries - diagnosis</subject><subject>Thoracic Injuries - mortality</subject><subject>Thoracic Injuries - physiopathology</subject><subject>Thoracic Injuries - therapy</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Vascular Surgical Procedures</subject><subject>Vascular System Injuries - diagnosis</subject><subject>Vascular System Injuries - mortality</subject><subject>Vascular System Injuries - physiopathology</subject><subject>Vascular System Injuries - therapy</subject><subject>Wounds, Nonpenetrating - diagnosis</subject><subject>Wounds, Nonpenetrating - mortality</subject><subject>Wounds, Nonpenetrating - physiopathology</subject><subject>Wounds, Nonpenetrating - therapy</subject><subject>Young Adult</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Uc1u1DAYtBCILoUH4IJ85JLFn7OxEyEhQcVPpUocCmfj2F-oQ2IvtrMob9Nn4cnwaksPHDiNNJoZfd8MIc-BbYGBeDVux0PacgbNlrWFkg_IBlgnK9Gy7iHZMLmDquGwOyNPUhoZA2ha-ZiccdEw0dXNhnx7Ny0-03wTojbOUB1iLuD8uMSV_nL5hqZZTxPdJ1xs0B4Ln2Y665X2WMDr72hpv1IffNhj1Nkd8PdtjqjzjD4_JY8GPSV8dofn5OuH918uPlVXnz9eXry9qkw5MFfDgBYF5xzM0ErJhey7HlpRaymYNbZBwfpGCtxBh8ZaqUUPsmZ1DaYemK7PyctT7j6GnwumrGaXDE5TOTksSUHJ6ThA2xUpnKQmhpQiDmof3azjqoCpY7FqVKVYdSxWsbZQsnhe3MUv_Yz23vG3ySJ4fRJgefLgMKpkHHqD1kU0Wdng_hv_5h-3mZx3Rk8_cMU0hiX60p4Clbhi6vq47HFYaBh0O-D1H4fYoFQ</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Tanizaki, Shinsuke, MD</creator><creator>Maeda, Shigenobu, MD</creator><creator>Matano, Hideyuki, MD</creator><creator>Sera, Makoto, MD</creator><creator>Nagai, Hideya, MD</creator><creator>Nakanishi, Taizo, MD</creator><creator>Ishida, Hiroshi, MD</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160201</creationdate><title>Blunt thoracic aortic injury with small pseudoaneurysm may be managed by nonoperative treatment</title><author>Tanizaki, Shinsuke, MD ; Maeda, Shigenobu, MD ; Matano, Hideyuki, MD ; Sera, Makoto, MD ; Nagai, Hideya, MD ; Nakanishi, Taizo, MD ; Ishida, Hiroshi, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c521t-ffede62221cf877267b9b1863a760dcd5e60b576e419ecdd7a6b1730331c3f0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aneurysm, False - diagnosis</topic><topic>Aneurysm, False - mortality</topic><topic>Aneurysm, False - physiopathology</topic><topic>Aneurysm, False - therapy</topic><topic>Aorta, Thoracic - diagnostic imaging</topic><topic>Aorta, Thoracic - injuries</topic><topic>Aorta, Thoracic - physiopathology</topic><topic>Aorta, Thoracic - surgery</topic><topic>Aortography - methods</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Japan</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Thoracic Injuries - diagnosis</topic><topic>Thoracic Injuries - mortality</topic><topic>Thoracic Injuries - physiopathology</topic><topic>Thoracic Injuries - therapy</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Vascular Surgical Procedures</topic><topic>Vascular System Injuries - diagnosis</topic><topic>Vascular System Injuries - mortality</topic><topic>Vascular System Injuries - physiopathology</topic><topic>Vascular System Injuries - therapy</topic><topic>Wounds, Nonpenetrating - diagnosis</topic><topic>Wounds, Nonpenetrating - mortality</topic><topic>Wounds, Nonpenetrating - physiopathology</topic><topic>Wounds, Nonpenetrating - therapy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanizaki, Shinsuke, MD</creatorcontrib><creatorcontrib>Maeda, Shigenobu, MD</creatorcontrib><creatorcontrib>Matano, Hideyuki, MD</creatorcontrib><creatorcontrib>Sera, Makoto, MD</creatorcontrib><creatorcontrib>Nagai, Hideya, MD</creatorcontrib><creatorcontrib>Nakanishi, Taizo, MD</creatorcontrib><creatorcontrib>Ishida, Hiroshi, MD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanizaki, Shinsuke, MD</au><au>Maeda, Shigenobu, MD</au><au>Matano, Hideyuki, MD</au><au>Sera, Makoto, MD</au><au>Nagai, Hideya, MD</au><au>Nakanishi, Taizo, MD</au><au>Ishida, Hiroshi, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Blunt thoracic aortic injury with small pseudoaneurysm may be managed by nonoperative treatment</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>63</volume><issue>2</issue><spage>341</spage><epage>344</epage><pages>341-344</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><abstract>Objective The efficacy of nonoperative management of blunt thoracic aortic injury (BTAI) was evaluated in patients with pseudoaneurysm. Methods A retrospective review was done for patients with BTAI at Fukui Prefectural Hospital during a 9-year period. Charts were reviewed for age, gender, Injury Severity Score, Abbreviated Injury Scale for each body area, initial type of aortic injury, site of aortic injury, type of definitive management, complications, and outcomes. Results Eighteen patients with BTAI were treated at Fukui Prefectural Hospital. Of 18 patients with pseudoaneurysm, seven patients were hemodynamically unstable and four patients died because of associated injuries; there were no aortic-related deaths. All 14 surviving patients were followed up for an average of 40.9 months. Only two patients with pseudoaneurysm required operative management because of the progression of the pseudoaneurysm. The pseudoaneurysm/normal aortic diameter ratio of those with any intervention was higher than that of those with nonoperative management. Conclusions BTAI with pseudoaneurysm can be managed nonoperatively, with about 10% risk of progression to require surgical repair.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26506935</pmid><doi>10.1016/j.jvs.2015.08.107</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0741-5214
ispartof Journal of vascular surgery, 2016-02, Vol.63 (2), p.341-344
issn 0741-5214
1097-6809
language eng
recordid cdi_proquest_miscellaneous_1760921189
source MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adult
Aged
Aged, 80 and over
Aneurysm, False - diagnosis
Aneurysm, False - mortality
Aneurysm, False - physiopathology
Aneurysm, False - therapy
Aorta, Thoracic - diagnostic imaging
Aorta, Thoracic - injuries
Aorta, Thoracic - physiopathology
Aorta, Thoracic - surgery
Aortography - methods
Disease Progression
Female
Hemodynamics
Humans
Injury Severity Score
Japan
Male
Middle Aged
Retrospective Studies
Surgery
Thoracic Injuries - diagnosis
Thoracic Injuries - mortality
Thoracic Injuries - physiopathology
Thoracic Injuries - therapy
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures
Vascular System Injuries - diagnosis
Vascular System Injuries - mortality
Vascular System Injuries - physiopathology
Vascular System Injuries - therapy
Wounds, Nonpenetrating - diagnosis
Wounds, Nonpenetrating - mortality
Wounds, Nonpenetrating - physiopathology
Wounds, Nonpenetrating - therapy
Young Adult
title Blunt thoracic aortic injury with small pseudoaneurysm may be managed by nonoperative treatment
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T14%3A24%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Blunt%20thoracic%20aortic%20injury%20with%20small%20pseudoaneurysm%20may%20be%20managed%20by%20nonoperative%C2%A0treatment&rft.jtitle=Journal%20of%20vascular%20surgery&rft.au=Tanizaki,%20Shinsuke,%20MD&rft.date=2016-02-01&rft.volume=63&rft.issue=2&rft.spage=341&rft.epage=344&rft.pages=341-344&rft.issn=0741-5214&rft.eissn=1097-6809&rft_id=info:doi/10.1016/j.jvs.2015.08.107&rft_dat=%3Cproquest_cross%3E1760921189%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1760921189&rft_id=info:pmid/26506935&rft_els_id=1_s2_0_S0741521415019412&rfr_iscdi=true