ArticleJournal of cardiothoracic surgery2022
Traumatic blunt thoracic aortic injury: a 10-year single-center retrospective analysis.
Article in Journal of cardiothoracic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 22 citations in OpenAlex.
- Blunt Thoracic Aortic Injury Presenting as Hemodynamically Stable: A Case Report.Clinical practice and cases in emergency medicine · 2026Article
- Predictors of Blunt Thoracic Aortic Injury Requiring TEVAR in Patients with Left-Sided Hemothorax: Implications for Chest Drainage and Early CTA Assessment.Journal of clinical medicine · 2026Article
- Timing of TEVAR in grade III blunt traumatic aortic injury: a 12-year single-center retrospective study.BMC surgery · 2026Article
- [Traumatic injuries of the thoracic aorta-Role of interventional radiology].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Article
- Non-operative management of blunt traumatic aortic injuries.World journal of cardiology · 2026Article
- Physiologic phenotypes in blunt thoracic aortic injury: implications for risk stratification and surgical decision-making using machine learning.Frontiers in digital health · 2026Article
- Management and outcomes of open and endovascular aortic repair with blunt traumatic aortic injuries in Western Australia.Journal of trauma and injury · 2025Article
- Multidisciplinary management of thoracic aortic injury with hemodynamically unstable pelvic fracture in the elderly.Journal of cardiothoracic surgery · 2025Article
- Trends in Management and Outcomes of Blunt Thoracic Aortic Injury in the United States.EJVES vascular forum · 2025Article
- Localized dissection of ascending aorta and arch rupture due to fire suppressant blast: A rare mechanism of injury successfully managed by urgent surgical intervention.ARYA atherosclerosis · 2025Article
- Endovascular Aortic Repair in Traumatic Descending Thoracic Aortic Transection: A Case Report.Cureus · 2024Article
- Endovascular Repair in Blunt Thoracic Aortic Injury: A 10-Year Single Center Experience.Cureus · 2024Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundApproximately 80% of patients with blunt thoracic aortic injury (BTAI) die before reaching the hospital. Most people who survive the initial injury eventually die without appropriate treatment. This study analyzed and reported the treatment strategy of a single center for BTAI in the last 10 years and the early and middle clinical results.
methodsThis retrospective study included patients diagnosed with BTAI at Xijing Hospital from 2013 to 2022. All inpatients with BTAI aged ≥ 18 years were included in this study. The clinical data, imaging findings, and follow-up results were retrospectively collected and analyzed. The Kaplan-Meier curve and multivariate logistic regression were used to compare survivors and nonsurvivors.
resultsA total of 72 patients (57% men) were diagnosed with BTAI, with a mean age of 54.2 ± 9.1 years. The injury severity score was 24.3 ± 18, with Grade I BTAI1 (1.4%), Grade II 17 (23.6%), Grade III 52 (72.2%), and Grade IV 2 (2.8%) aortic injuries. Traffic accidents were the main cause of BTAI in 32 patients (44.4%). Most patients had trauma, 37 had rib fractures (51.4%), Sixty patients (83.3%) underwent thoracic endovascular aortic repair (TEVAR) surgery, eight (11.1%) underwent conservative treatment, and only four (5.6%) underwent open surgery. The overall hospitalization mortality was 12.5%. In multivariate logistic regression, elevated creatinine levels (P = 0.041) and high Glasgow coma scale (GCS) score (P = 0.004) were the predictors of hospital mortality. The median follow-up period was 57 (28-87) months. During the follow-up period, all-cause mortality was 5.6% and no aortic-related deaths were reported. Three patients (4.2%) needed secondary surgery and two of them underwent endovascular repair.
conclusionAlthough TEVAR surgery may be associated with intra- or postoperative dissection rupture or serious complications in the treatment of Grade III BTAI, the incidence rate was only 8.9%. Nevertheless, TEVAR surgery remains a safe and feasible approach for the treatment of Grade II or III BTAI, and surgical treatment should be considered first,. A high GCS score and elevated creatinine levels in the emergency department were closely associated with hospital mortality. Younger patients need long-term follow-up after TEVAR.
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