{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T18:10:06Z","timestamp":1773425406293,"version":"3.50.1"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T00:00:00Z","timestamp":1616976000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The aim of this study was to analyse and report the changes in the management of blunt traumatic aortic injuries (BTAIs) in a single centre during the last 2 decades.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>A retrospective analysis of all patients diagnosed with BTAI from January 1999 to January 2020 was performed. Data were collected from electronic\/digitalized medical history records.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Forty-six patients were included [median age 42.4\u2009years (16\u201384\u2009years), 71.7% males]. The predominant cause of BTAI was car accidents (54.5%, n\u2009=\u200924) and all patients presented with concomitant injuries (93% bone fractures, 77.8% abdominal and 62.2% pelvic injuries). Over 70% presented grade III or IV BTAI. Urgent repair was performed in 73.8% of patients (n\u2009=\u200931), with a median of 2.75\u2009h between admission and repair. Thoracic endovascular repair (TEVAR) was performed in 87% (n\u2009=\u200949), open surgery (OS) in 10.9% (n\u2009=\u20095) and conservative management in 2.1% (n\u2009=\u20091). Technical success was 82.6% (92.1% TEVAR, 79% OS). In-hospital mortality was 19.5% (17.5% TEVAR, 40% OS). Of these, 3 died from aortic-related causes. Seven (15.2%) required an early vascular reintervention. The median follow-up was 34\u2009months (1\u2013220\u2009months), with 19% of early survivors having a follow-up of &amp;gt;10\u2009years. Only 1 vascular reintervention was necessary during follow-up: secondary TEVAR due to acute graft thrombosis. Of the patients who survived the initial event, 6.7% died during follow-up, none from aortic-related causes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Even with all the described shortcomings, in our experience TEVAR for BTAI proved to be feasible and effective, with few complications and stable aortic reconstruction at mid-term follow-up. With the current technical expertise and wide availability of a variety of devices, it should be pursued as a first-line therapy in these challenging scenarios.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivab067","type":"journal-article","created":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T05:55:28Z","timestamp":1613195728000},"page":"293-300","source":"Crossref","is-referenced-by-count":16,"title":["Blunt traumatic thoracic aortic injuries: a retrospective cohort analysis of 2 decades of experience"],"prefix":"10.1093","volume":"33","author":[{"given":"Carlota Fernandez","family":"Prendes","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Ludwig-Maximilians-University Hospital , Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Stana","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Ludwig-Maximilians-University Hospital , Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karina Domingos","family":"Schneidwind","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Ludwig-Maximilians-University Hospital , Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Rantner","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Ludwig-Maximilians-University Hospital , Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Konstantinou","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Ludwig-Maximilians-University Hospital , Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Bruder","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Ludwig-Maximilians-University Hospital, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6461-0663","authenticated-orcid":false,"given":"Christian","family":"Kammerlander","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Ludwig-Maximilians-University Hospital, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3738-1615","authenticated-orcid":false,"given":"Ramin","family":"Banafsche","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Ludwig-Maximilians-University Hospital , Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6313-7595","authenticated-orcid":false,"given":"Nikolaos","family":"Tsilimparis","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Ludwig-Maximilians-University Hospital , Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,3,29]]},"reference":[{"key":"2022030915262566900_ivab067-B1","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.ejvs.2016.06.005","article-title":"Management of Descending Thoracic Aorta Diseases. 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