BACKGROUND: @entity130 of the thoracic aorta have a high morbidity and mortality. Treatment options include either open surgery or endovascular stent graft implantation. METHODS: We have reviewed retrospectively all our @entity1 treated for acute and chronic @entity130 of the thoracic aorta and compared the outcome of the endovascular versus open therapy. Age, gender, severity of injuries, interventional delay, perioperative morbidity, 30-day mortality, length of intensive care, and overall hospital stay were evaluated. RESULTS: In all, 46 @entity1 were treated over the past 14 years. Overall 30-day mortality was 16% in @entity1 treated for acute or contained @entity1755 (n = 31) and not significantly different after endovascular versus open repair (13.3% versus 18.8%). There was no mortality in the @entity1 receiving elective stent grafting or open surgery for chronic posttraumatic aortic @entity439 (n = 15). Conversion and/or operative revision following stent graft implantation occurred in three @entity1 (12.5%). @entity16 were absent in the stent graft group (0 of 24), whereas @entity451 (n = 2) or minor neurologic (n = 3) deficits developed following open surgery (5 of 22; 22.7%; p = 0.013). Length of intensive care and overall hospital stay were significantly shorter for @entity1 after elective stent graft treatment compared with open surgery (p = 0.045). CONCLUSIONS: According to our midterm results, minimally invasive endovascular repair for @entity1 with acute @entity397 and chronic @entity439 is an equally effective treatment option compared with open surgery, with advantages regarding perioperative @entity16 and duration of hospital stay under elective circumstances.

Stent versus open surgery for acute and chronic XXXX of the thoracic aorta: a single-center experience.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1755 :: ('MESH:D001019', 'Disease') :: ['aortic ruptures'] @entity16 :: ('MESH:D009422', 'Disease') :: ['Neurologic complications', 'neurologic complications'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'posttraumatic aneurysms'] @entity397 :: ('MESH:D012421', 'Disease') :: ['traumatic ruptures'] @entity451 :: ('MESH:C536857', 'Disease') :: ['paraplegia'] @entity130 :: ('MESH:D014947', 'Disease') :: ['Traumatic injuries', 'traumatic injury']
@entity130 :: (MESH:D014947,Disease) :: ['traumatic injury']
