title: Thoracic endovascular aortic repair for traumatic type B aortic dissection: a 5-year experience from a single center.
abstract: BACKGROUND
  The aim of this paper was to share our experience and demonstrate the feasibility, safety and efficacy of thoracic endovascular aortic repair (TEVAR) for traumatic type B aortic dissection (TTBAD).
  
  
  METHODS
  Between October 2010 and October 2015, 36 patients, who have been diagnosed as TTBAD, were included. A computed tomography angiography (CTA) scan was performed to confirm the diagnosis and to localize the aortic entry. The clinical data and outcomes of these patients were retrospectively reviewed and collected for further analysis. CTA scan follow-up was organized 1 week, 3 months, 6 months and yearly after the procedure.
  
  
  RESULTS
  Thirty-six cases (48.7±15.8 years, 25 men) were included in this study. All the patients were successfully managed with TEVAR, and the perioperative mortality and 30-day mortality were zero. The mean hospitalization time was 14.6±8.4 days, with the mean intensive care unit (ICU) stay time being 44.4±62.4 hours. After TEVAR, no cardiocerebral events happened, but 6 patients suffered from pulmonary infection, 1 patient suffered from renal failure, and type I endoleak occurred in 1 patient. The postoperative courses of the other patients were uneventful. All the patients were followed-up for 13.1±12.6 months, and we could affirm the stability of the implants and good quality of life of the included patients.
  
  
  CONCLUSIONS
  Treatment of TTBAD by TEVAR with implantation of stent graft is technical possible, besides, it is remarkably safe and effective.
authors.affiliation: Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China.
authors.forename: Shuang
authors.initials: S
authors.lastname: Li
authors.affiliation: Department of General Surgery, Second Xiangya Hospital, Central South University, Changsha, China.
authors.forename: Wenwu
authors.initials: W
authors.lastname: Cai
authors.affiliation: Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Li
authors.affiliation: Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Qiu
authors.affiliation: Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China.
authors.forename: Quanming
authors.initials: Q
authors.lastname: Li
authors.affiliation: Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China - changshu0101@yahoo.com.
authors.forename: Chang
authors.initials: C
authors.lastname: Shu
mesh_terms: D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D002681:China; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000601:surgery*