[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

Preview

Text Benz2021_HvTK_DiagnostikUndTherapieTraumatis.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (1MB) | Preview

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.

Interest & Impact

Downloads

148 since deposited on 29 Jul 2021
70 in the past 12 months

Citations

5 Citations in Web of Science ®
6 Citations in Scopus

Search

in Google Scholar™

Services

Actions (login required)

Edit item

Actions (login required)

Edit item