title: [Endovascular treatment of blunt thoracic aortic injuries].
abstract: A new era has begun in the last two decades with the advent of endovascular methods in the therapy of blunt thoracic aorta injuries. Our experiences with the endovascular interventions of blunt aortic trauma in the Cardiovascular Center of Semmelweis University are summarised here.
  
  
  
  We included those patients who underwent endovascular intervention due to blunt aortic trauma in a university hospital between 1998 and 2014. The statistical analysis was performed with the use of Excel.
  
  
  
  41 patients were selected from our database. There were 34 males, the average age was 47 years (±17 years). Among the 41 patients 15 underwent an acute procedure (12 ruptures) and 26 patients received delayed treatment (in 4 cases due to growing of the pseudoaneurysm). There was only one early postoperative death. Late mortality was 22.5% and 7.5% was related to the aortic injury.
  
  
  
  Our late mortality and complication rates were similar to other studies, which reinforces international experiences. In the cases when delayed treatment is feasible, the patient can be stabilized and the CTA images can be analyzed for precise stentgraft planning. The treatment of blunt thoracic aorta injured patients should take place in specialized centers capable of such endovascular interventions.
authors.affiliation: Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem 1122 Budapest, Városmajor utca 68.
authors.forename: Zsuzsanna
authors.initials: Z
authors.lastname: Mihály
authors.affiliation: Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem 1122 Budapest, Városmajor utca 68.
authors.forename: Péter
authors.initials: P
authors.lastname: Banga
authors.affiliation: Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem 1122 Budapest, Városmajor utca 68.
authors.forename: Lilla
authors.initials: L
authors.lastname: Szatai
authors.affiliation: Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem 1122 Budapest, Városmajor utca 68.
authors.forename: Árpád
authors.initials: Á
authors.lastname: Simonffy
authors.affiliation: Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem 1122 Budapest, Városmajor utca 68.
authors.forename: Daniele Mariastefano
authors.initials: DM
authors.lastname: Fontanini
authors.affiliation: Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem 1122 Budapest, Városmajor utca 68.
authors.forename: Judit
authors.initials: J
authors.lastname: Bélteki
authors.affiliation: Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem 1122 Budapest, Városmajor utca 68.
authors.forename: Bianka
authors.initials: B
authors.lastname: Forgó
authors.affiliation: Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem 1122 Budapest, Városmajor utca 68.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Szeberin
mesh_terms: D000328:Adult; D000368:Aged; D001013:Aorta, Thoracic / Q000293:injuries / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D013898:Thoracic Injuries / Q000401:mortality / Q000601:surgery*; D014193:Trauma Centers / Q000706:statistics & numerical data; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000401:mortality / Q000601:surgery*
keywords: aortasérülés; aortic injuries; blunt thoracic trauma injuries; stentgraft; tompa mellkasi trauma