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...
Gespeichert in:
Veröffentlicht in: | Journal of vascular surgery 2016-02, Vol.63 (2), p.341-344 |
---|---|
Hauptverfasser: | , , , , , , |
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 |