title: Late Radiological and Clinical Outcomes of Traumatic Thoracic Aortic Injury Managed with Thoracic Endovascular Aortic Repair.
abstract: OBJECTIVE
  Patients treated with thoracic endovascular aortic repair (TEVAR) for traumatic thoracic aortic injury (TTAI) are often young and data on long-term durability of this treatment is not widely documented. The aims of this study were to report the New Zealand (NZ) national experience of TEVAR and to assess the durability of late outcomes and radiological follow-up of patients treated for TTAI.
  
  
  METHODS
  Consecutive patients treated with TEVAR during a 12-year period from all tertiary centers in NZ were included. Early (30-day), late survival and radiological imaging data were recorded to document late graft-related complications and re-interventions.
  
  
  RESULTS
  88 patients with a median (range) age of 35 (15-87) year and 63 (71.6 %) males were included. Eleven patients (12.5 %) died within 30 days, of which three were aortic related deaths. The median (range) follow-up was 76.3 (0.3-164.6) months. Six (7.8 %) patients died during the follow-up period due to non-aortic-related causes. Nine (11.5 %) patients were lost to follow-up of which three emigrated overseas. Of those on surveillance, two patients required TEVAR re-intervention to previously treated aortic segments; one for a type 1b endoleak and the other for a symptomatic pseudo-coarctation. Both were treated successfully with a TEVAR.
  
  
  CONCLUSIONS
  This multicenter study suggests that TEVAR is a durable option for treatment of traumatic thoracic aortic injury. Although, stent graft complications were uncommon, but when it occurred, it leads to re-intervention. Further radiological follow-up is required particularly in young patient to document late aortic/stent complications.
authors.affiliation: Department of Vascular Endovascular & Transplant Surgery, Christchurch Hospital, Christchurch, New Zealand. manar.khashram@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Khashram
authors.affiliation: Department of Vascular Endovascular & Transplant Surgery, Christchurch Hospital, Christchurch, New Zealand.
authors.forename: Q
authors.initials: Q
authors.lastname: He
authors.affiliation: Department of Cardiothoracic Surgery, Auckland City Hospital, Auckland, New Zealand.
authors.forename: T H
authors.initials: TH
authors.lastname: Oh
authors.affiliation: Department of Vascular Endovascular & Transplant Surgery, Christchurch Hospital, Christchurch, New Zealand.
authors.forename: A
authors.initials: A
authors.lastname: Khanafer
authors.affiliation: Department of Vascular Surgery, Waikato Hospital, Hamilton, New Zealand.
authors.forename: I A
authors.initials: IA
authors.lastname: Wright
authors.affiliation: Department of Vascular Surgery, Waikato Hospital, Hamilton, New Zealand.
authors.forename: T M
authors.initials: TM
authors.lastname: Vasudevan
authors.affiliation: Department of Vascular Surgery, Wellington Regional Hospital, Wellington, New Zealand.
authors.forename: A S N
authors.initials: AS
authors.lastname: Lo
authors.affiliation: Department of Vascular Endovascular & Transplant Surgery, Christchurch Hospital, Christchurch, New Zealand.
authors.forename: J A
authors.initials: JA
authors.lastname: Roake
authors.affiliation: Department of Vascular Surgery, Auckland City Hospital, Auckland, New Zealand.
authors.forename: I
authors.initials: I
authors.lastname: Civil
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D057867:Endoleak / Q000000981:diagnostic imaging / Q000453:epidemiology*; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009520:New Zealand / Q000453:epidemiology; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000453:epidemiology*; D013902:Radiography, Thoracic; D012086:Reoperation; D012189:Retrospective Studies; D015607:Stents; D013898:Thoracic Injuries / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014945:Wound Healing; D055815:Young Adult