[Management of the traumatic aortic blunt injury in 2014]. / Traitement des ruptures traumatiques de l'isthme aortique en 2014.
Presse Med
; 44(3): 305-16, 2015 Mar.
Article
em Fr
| MEDLINE
| ID: mdl-25542710
ABSTRACT
Diagnosis of blunt thoracic aortic injury (BAI) should be considered in any serious polytrauma. The diagnosis is mainly based on the CT scan at baseline. Life-threatening lesions are often associated with BAI. Hospital mortality is mainly due to associated lesions. Except the complete rupture of the aorta, treatment should be initiated after hemodynamic and respiratory stabilization of the patient and after the treatment of a lesion involving the immediate prognosis. Endovascular treatment of BAI became the treatment of choice, especially for patients with severe associated injuries and bleeding risk. Additional data on the long-term stents are necessary in these young patients. Conventional surgical treatment is always indicated for young subjects with stable hemodynamic, low risk of bleeding and when surgery may be delayed several hours.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Aorta Torácica
/
Ruptura Aórtica
/
Traumatismos Torácicos
/
Ferimentos não Penetrantes
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Limite:
Humans
Idioma:
Fr
Ano de publicação:
2015
Tipo de documento:
Article