Physician Resources Home arrow Medical News arrow Endovascular repair of traumatic thoracic aortic injury shows promise
Endovascular repair of traumatic thoracic aortic injury shows promise
Written by Medical News Feed   
Vehicle accident victims have positive results using newer, non-invasive procedures

Surgeons from the University of Maryland and Maryland Shock Trauma Center in Baltimore have released positive results of their first 20 patients with traumatic thoracic aortic injury treated with endograft repair. Endograft repairs had substantially lower risk of death and paralysis than traditional open-chest repairs. Details of their study appear in the March 2007 Journal of Vascular Surgery.


Most thoracic aortic injuries are caused by force of a vehicle crash that tears the wall of the aorta, and victims can rapidly bleed to death.

Fifteen of the 20 patients in this study were in a car crashes, three were on motorcycles and two were injured in falls. In the past, the only way to repair such a tear in the aorta was to open the chest, clamp off the aorta for a period of time and replace the injured aorta with a fabric graft - a procedure that carries a high risk of death and paralysis. While many victims die before reaching the hospital, almost one-third of those who do get to a medical facility will not survive these procedures.

David G. Neschis, MD, assistant professor of surgery at the University of Maryland School of Medicine, explained that the less invasive, endograft procedure requires no surgery in the chest; instead it is performed through a tiny incision in the groin. Using X-ray guidance, the endograft, a tube-shaped device, is passed up through the blood vessels, and opened inside the injured portion of the aorta. The endograft bridges the injured area to allow circulation through the aorta without continued hemorrhage.

All endograft repairs were completed with no immediate complications. No patients were lost as a result of their aortic injury; however four patients died from other severe injuries including head, chest and abdominal trauma. None of the survivors were paralyzed, a complication that can occur in 14 percent of patients repaired with open thoracic aortic surgery. The average age of patients was 40 years, and 85 percent were male.


"There are few things more devastating than the loss of a young life in a motor vehicle crash, or a surviving victim waking up paralyzed,"said Dr. Neschis. We believe that our less invasive procedure has significantly reduced the risk of paralysis associated with aortic injury repair. "He added that endograft repair is particularly beneficial in patients who have other serious injuries and may be in no condition to tolerate open chest surgery. If it wasn't for the other injuries these patients have had," said Dr. Neschis, "they possibly would have been able to go home the next day. So far, the non-invasive alternative treatment for younger accident victims appears to be safe and effective," said Dr. Neschis. "Endograft repair is probably the single most significant advance in the treatment of aortic trauma in the last 50 years. We hope our report will help vascular surgeons develop their endovascular skills, offer this new treatment to patients and create programs at their institutions, as we continue to improve the care of trauma victims."

Source: Media Release from the Journal of Vascular Surgery 

< Prev   Next >

Common Diseases

Swine Flu - Updates and information on H1N1 2009 (AKA Swine Influenza) pandemic.

Ankylosing spondylitis - Current protocols for diagnosis and treatment options.

Wegener granulomatosis - Autoimmune etiology and clinical course.

Diabetes - disease and management information, including diagnosis, typical treatment plans and diabetes supplies.


Medical Careers

The US medical jobs market has stayed hot for health care providers. Whether you believe that a provider shortage is in the offing or that the ratio of physicians-to-patients is too high, physician jobs and nursing jobs abound.

A wide variety of medical jobs can be found in the netdoc health care job listings. Particular strengths include permanent and locum tenens physician jobs, nursing jobs across the US, and radiology positions.

Other resources include physician salary information, medical career guidance, and the ability to post physician jobs.


When hiring your medical practice office manager, what was the most important consideration?
Copyright 2005 - 2020 Medical Resource Group, LLC. All rights reserved.