{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T05:21:01Z","timestamp":1769318461621,"version":"3.49.0"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objectives\u2003The aim of this study was to compare aortic diameters from admission computed tomography angiography (CTA) scans to postoperative aortic diameters in patients with traumatic aortic injury (TAI) and evaluate the influence of substantial blood loss on aortic diameter.<\/jats:p><jats:p>\n          Methods\u2003The aortic databases of two tertiary university centers were retrospectively screened for patients with TAI between February 2002 and February 2019. Concomitant organ injuries, bone fractures, blood loss, and clinical outcomes were evaluated. Aortic diameters were measured in CTA upon admission and were compared with the CTA before discharge at three different aortic levels (mid-ascending, 5\u2009cm distal to the end of the stent graft, and at the celiac trunk level).<\/jats:p><jats:p>\n          Results\u2003We identified 45 patients, aged 43 (first quartile; third quartile [26; 55]) years with a TAI treated by thoracic endovascular aortic repair. The most frequent cause of TAI was a car accident (n\u2009=\u200924). Concomitant injuries were seen in all but one patient. Bone and pelvic fractures were seen in 40 (89%) and 15 (33%) patients, respectively. Type III aortic injury was present in 25 patients (56%). Increase of aortic diameter after stabilization was +1.7\u2009mm (\u22120.6\u2009mm; 2.5\u2009mm; p\u2009=\u20090.004) at the mid-ascending aorta, +2.1\u2009mm (0.2\u2009mm; 3.8\u2009mm; p\u2009&lt;\u20090.001) 5\u2009cm distal to the stent graft, and +1.5\u2009mm (0.5\u2009mm; 3.2\u2009mm; p\u2009&lt;\u20090.001) at the celiac trunk level.<\/jats:p><jats:p>\n          Conclusion\u2003In patients with TAI, the aortic diameter is significantly reduced as compared with the aortic diameter at discharge. The reduction of aortic diameter might be caused by hemorrhagic shock and should be kept in mind for appropriate stent-graft sizing.<\/jats:p>","DOI":"10.1055\/s-0040-1713425","type":"journal-article","created":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T00:01:18Z","timestamp":1595980878000},"page":"333-338","source":"Crossref","is-referenced-by-count":5,"title":["Diameter Changes in Traumatic Aortic Injury: Implications for Stent-Graft Sizing"],"prefix":"10.1055","volume":"70","author":[{"given":"Tim","family":"Berger","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Faculty of Medicine, University of Freiburg, Freiburg, Baden W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Voetsch","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Endovascular Surgery, Paraclesus Medical University Salzburg, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diaa","family":"Alaloh","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Faculty of Medicine, University of Freiburg, Freiburg, Baden W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian","family":"Kreibich","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Faculty of Medicine, University of Freiburg, Freiburg, Baden W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Krombholz-Reindl","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Endovascular Surgery, Paraclesus Medical University Salzburg, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Winkler","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Endovascular Surgery, Paraclesus Medical University Salzburg, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bartosz","family":"Rylski","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Faculty of Medicine, University of Freiburg, Freiburg, Baden W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Wolfgruber","sequence":"additional","affiliation":[{"name":"Universit Institute for Radiology, Paraclesus Medical University Salzburg, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friedhelm","family":"Beyersdorf","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Faculty of Medicine, University of Freiburg, Freiburg, Baden W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Siepe","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Faculty of Medicine, University of Freiburg, Freiburg, Baden W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rainald","family":"Seitelberger","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Endovascular Surgery, Paraclesus Medical University Salzburg, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Czerny","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Faculty of Medicine, University of Freiburg, Freiburg, Baden W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9716-3655","authenticated-orcid":false,"given":"Roman","family":"Gottardi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Endovascular Surgery, Paraclesus Medical University Salzburg, Salzburg, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,7,28]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1177\/1708538113518205","article-title":"Epidemiology of concomitant injuries in traumatic thoracic aortic rupture: a meta-analysis","volume":"22","author":"C N Antonopoulos","year":"2014","journal-title":"Vascular"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1007\/s00068-019-01123-3","article-title":"Efficacy and safety of TEVAR with debranching technique for blunt traumatic aortic injury in patients with severe multiple trauma","volume":"45","author":"K Uchida","year":"2019","journal-title":"Eur J Trauma Emerg Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.avsg.2018.12.094","article-title":"National trends of thoracic endovascular aortic repair versus open thoracic aortic repair in pediatric blunt thoracic aortic injury","volume":"59","author":"B J Hasjim","year":"2019","journal-title":"Ann Vasc Surg"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"e187861","DOI":"10.1001\/jamanetworkopen.2018.7861","article-title":"Long-term outcomes of endovascular and open repair for traumatic thoracic aortic injury","volume":"2","author":"Y-T Cheng","year":"2019","journal-title":"JAMA Netw Open"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1016\/j.jvs.2009.02.234","article-title":"Blunt traumatic aortic injury: initial experience with endovascular repair","volume":"49","author":"A Azizzadeh","year":"2009","journal-title":"J Vasc Surg"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1136\/emermed-2013-202639","article-title":"Analysis of risk factors for death after blunt traumatic rupture of the thoracic aorta","volume":"32","author":"D Franzen","year":"2015","journal-title":"Emerg Med J"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1136\/emj.2009.075978","article-title":"Aortic transection: demographics, treatment and outcomes in Victoria, Australia","volume":"27","author":"R J Hiller","year":"2010","journal-title":"Emerg Med J"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.jvs.2010.02.256","article-title":"Aortic endograft sizing in trauma patients with hemodynamic instability","volume":"52","author":"F HW Jonker","year":"2010","journal-title":"J Vasc Surg"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1016\/j.jvs.2013.11.075","article-title":"Comparison of thoracic aortic diameter changes after endograft placement in patients with traumatic and aneurysmal disease","volume":"59","author":"H B Alberta","year":"2014","journal-title":"J Vasc Surg"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1111\/j.1748-1716.1971.tb05059.x","article-title":"Diameter and elasticity of the ascending aorta during infusion of noradrenaline","volume":"83","author":"H Aars","year":"1971","journal-title":"Acta Physiol Scand"},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1177\/1526602816647939","article-title":"Impact of oversizing on the risk of retrograde dissection after TEVAR for acute and chronic type B dissection","volume":"23","author":"L Liu","year":"2016","journal-title":"J Endovasc Ther"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1713425.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,25]],"date-time":"2022-06-25T22:49:45Z","timestamp":1656197385000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1713425"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,28]]},"references-count":11,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,6,25]]},"published-print":{"date-parts":[[2022,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1713425","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,28]]}}}