[Diagnostics and treatment of traumatic aortic injuries].

Benz, R. M.; Makaloski, V.; Brönnimann, M.; Mertineit, N.; von Tengg-Kobligk, H. (2021). [Diagnostics and treatment of traumatic aortic injuries]. Unfallchirurg, 124(8), pp. 601-609. Springer-Medizin-Verlag 10.1007/s00113-021-01044-0

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BACKGROUND

Traumatic aortic injuries (TAI) are rare injuries in blunt thoracic trauma, which have a high morbidity and mortality. Rapid and accurate diagnosis as well as the correct choice of treatment are elementary for patient survival.

OBJECTIVE

Determination of the current standards for diagnostics of TAI in the acute trauma setting and evaluation of the current guidelines for treatment.

MATERIAL AND METHODS

A literature search was carried out for articles describing diagnostics of TAI. Furthermore, the guidelines for treatment and follow-up of TAI were summarized.

RESULTS

Despite the low specificity conventional chest X‑ray is still named in the literature as initial diagnostic procedure. Primarily, computed tomography (CT) should follow as the method of choice for diagnostics and treatment stratification due to the high sensitivity and specificity. Thoracic endovascular aortic repair (TEVAR) is recommended by all guidelines as first line treatment of higher grades of TAI (grades II-IV) and has replaced open surgery in most cases.

CONCLUSION

After rapid diagnosis and classification of TAI with CT, in most cases TEVAR has become the preferred treatment over open surgery.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Benz, Robyn Melanie; Makaloski, Vladimir; Brönnimann, Michael; Mertineit, Nando and von Tengg-Kobligk, Hendrik

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0177-5537

Publisher:

Springer-Medizin-Verlag

Language:

German

Submitter:

Maria de Fatima Henriques Bernardo

Date Deposited:

29 Jul 2021 17:43

Last Modified:

19 Aug 2021 01:33

Publisher DOI:

10.1007/s00113-021-01044-0

PubMed ID:

34254152

Uncontrolled Keywords:

Angiography, computed tomography Classification Guidelines Open aortic surgery Thoracic endovascular aortic repair

BORIS DOI:

10.48350/157781

URI:

https://boris.unibe.ch/id/eprint/157781

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