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  1. Prospective study of blunt aortic injury : Multicenter Trial of the American Association for the Surgery of Trauma. Commentary.

    Article, Communication - En anglais

    Annual Meeting of the American Association for the Surgery of Trauma. Houston, Texas (USA), 1996/09/19.


    Blunt aortic injury is a major cause of death from blunt trauma.

    Evolution of diagnostic techniques and methods of operative repair have altered the management and posed new questions in recent years.


    This study was a prospectively conducted multicenter trial involving 50 trauma centers in North America under the direction of the Multi-institutional Trial Committee of the American Association for the Surgery of Trauma.


    There were 274 blunt aortic injury cases studied over 2.5 years, of which 81% were caused by automobile crashes.

    Chest computed tomography and transesophageal echocardiography were applied in 88 and 30 cases, respectively, and were 75 and 80% diagnostic, respectively.

    Two hundred seven stable patients underwent planned thoracotomy and repair.

    Clamp and sew technique was used in 73 (35%) and bypass techniques in 134 (65%). Overall mortality was 31%, with 63% of deaths being attributable to aortic rupture ; mortality was not affected by method of repair.

    Paraplegia occurred postoperatively in 8.7%. Logistic regression analysis demonstrated clamp and sew (p=0.002) and aortic cross clamp time of 30 minutes (p=0.01) to be associated with development of postoperative paraplegia.


    Rupture after hospital admission remains a major problem.

    Although newer diagnostic techniques are being applied, at this time aortography remains the diagnostic standard. (...)

    Mots-clés Pascal : Traumatisme, Aorte, Homme, Epidémiologie, Traumatologie, Amérique du Nord, Amérique, Etude longitudinale, Diagnostic, Traitement, Etude multicentrique, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Aorte pathologie

    Mots-clés Pascal anglais : Trauma, Aorta, Human, Epidemiology, Traumatology, North America, America, Follow up study, Diagnosis, Treatment, Multicenter study, Cardiovascular disease, Vascular disease, Aortic disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0290533

    Code Inist : 002B16I. Création : 15/07/1997.