Hemothorax Management After Endovascular Treatment For XXXX .

@entity1 @entity1755 @entity1066 @entity397 @entity880 @entity1576 @entity2333 @entity731 @entity4095
OBJECTIVES: The aim was to describe and analyze the management of hemothorax (HTX) and the occurrence of @entity1576 after endovascular repair of thoracic @entity1755 (TEVAR). METHODS: This was a multicenter study with retrospective analysis. Between November 2000 and December 2012, all @entity1 with confirmed HTX due to rupture of the descending thoracic aorta treated with TEVAR were included. Respiratory function (acid base status, Pao2, Paco2, @entity880 , and respiratory index) was monitored throughout hospitalization. Primary endpoints were survival and post-operative @entity1576 . RESULTS: Fifty-six @entity1 were treated. The mean age was 62      21 years (range 18-92 years). Etiology included @entity397 (n  =  23, 41%), @entity731 (n  =  20, 36%), Debakey type IIIa dissection (n  =  8, 14%), and penetrating aortic @entity1066 (n  =  5, 9%). The primary technical success of TEVAR was 100%. The in hospital mortality rate was 12.5% (n  =  7). Hemothorax was drained in 21 (37.5%) cases. In hospital @entity1576 occurred in 23 (41%) @entity1 who required a longer intensive care unit stay (days 2.3      0.7 vs. 1.9      0.8, p  =  .017), and hospitalization (26      17 vs. 19      17, p  =  .021). Those who developed post-operative @entity1576 had lower pre-operative @entity4095 values (mmHg, 80      24 vs. 91      21, p  =  .012). @entity1576 and in hospital mortality did not differ among aortic pathologies (p  =  .269 and p  =  1.0, respectively), nor did in hospital mortality differ between @entity1 with and without @entity1576 (13% vs. 12%; p  =  .990). CONCLUSIONS: @entity1755 still has a high mortality rate. @entity1576 have not been eliminated by endovascular repair. HTX evacuation may have had a positive influence on the survival in these @entity1 . Although traumatic and degenerative @entity397 are two significantly different scenarios, survival and respiratory outcomes were similar and were not affected by the underlying @entity2333 .
