Emergency endovascular stent graft repair for acute blunt XXXX : a retrospective case control study.

@entity1 @entity697 @entity548 @entity326 @entity16 @entity1151 @entity764 @entity397 @entity86 @entity2922 @entity451 @entity130
OBJECTIVE: To compare surgical and endovascular stent graft (ESG) treatment of blunt @entity764 (BAI) in the emergency setting. DESIGN AND SETTING: Retrospective case control study in two surgical intensive care units of a university hospital. @entity1 : 30 @entity1 who presented with BAI between 1995 and 2005: 17 treated surgically and 13 by ESG. The two groups were comparable for the severity of @entity130 and mean delay before treatment; the mean age was higher in the ESG group (46+/-18 vs. 35+/-15 years). RESULTS: In the surgical group time spent in the operating theater was longer (310+/-130 vs. 140+/-48 min) and blood losses higher (2000+/-1300 vs. no significant @entity548 ); aortic clamping time was 48+/-20 min. The mortality rate was 15% with ESG (n=2) and 23% with surgery (n=4). Complications of the procedure were more frequent in the surgical group (1 vs. 7). In the ESG group there was one @entity1151 . In the surgical group there were three @entity16 , one @entity697 , one perioperative @entity397 , one periprosthetic leak, and one @entity326 . Two complications ( @entity86 and @entity451 ) appeared in the same @entity1 in the surgical group. Intensive care unit length of stay, duration of mechanical ventilation, and @entity2922 support were similar in the two groups. CONCLUSIONS: Stent graft for emergency treatment of BAI is efficient and is associated with fewer complications than surgical treatment.
