Blunt Traumatic Aortic Injury Management, a French TraumaBase Analytic Cohort

• DOI: 10.1016/j.ejvs.2021.09.043
• Publication Date: 2022-02-08T05:23:16Z
• Authors: Louis Boutin; Marie-Josée Cabal...; Delphine Guarrigue; Emmanuelle Hammad; Isabelle Rennuit; Nathalie Delhaye; Arthur Neuschwander; Alain Meyer; Valérie Bitot; Quentin Mathais; Mathieu Boutonnet; Pierre Julia; Mercier Olaf; Jacques Duranteau; Sophie R. Hamada
• Keywords: Clinical endpoint; Major trauma

Blunt traumatic aortic injury (BTAI) in severe trauma patients is rare but potentially lethal. The aim of this work was to perform a current epidemiological analysis the clinical and surgical management these European country.This multicentre, retrospective study using prospectively collected data from French National Trauma Registry Uniform Hospital Discharge Database 10 centres France. primary endpoint prevalence BTAI. secondary endpoints focused chronologically on characteristics, management, patient outcomes.209 were included with mean age 43 ± 19 years 168 (80%) men. calculated BTAI at hospital admission 1% (162/15 094) (BTAI admissions/all trauma). time diagnosis increased severity (grade 1: 94 [74, 143] minutes grade 4: 154 [112, 202] minutes, p = .020). This delay seemed be associated intensity required resuscitation. Sixty seven (32%) received no treatment. Among those treated, 130 (92%) endovascular treatment, 14 (10%) open surgery (two combined), 123 (85%) treated within first 24 hours. Overall mortality 20% attributed cause death haemorrhagic shock (69%). Mortality according severity, 6% for 1 65% 4 (p < .001). Twenty-six (18.3%) by repair had complications.BTAI low occurred high velocity suspicion haemorrhage. association increasing suggests need optimise early resuscitation minimise Endovascular treatment has been established as reference accounting more than 90% interventional options