Evaluation and Management of Blunt Traumatic Aortic Injury: A Practice Management Guideline From the Eastern Association for the Surgery of Trauma

@article{Fox2015EvaluationAM,
  title={Evaluation and Management of Blunt Traumatic Aortic Injury: A Practice Management Guideline From the Eastern Association for the Surgery of Trauma},
  author={Nicole M Fox and Diane A. Schwartz and Jose H. Salazar and Elliott R. Haut and Philipp Dahm and James Hamilton Black and Scott C. Brakenridge and John J Como and Kimberly M. Hendershot and David R. King and Adrian A. Maung and Matthew L. Moorman and Kimberly K. Nagy and Laura B Petrey and Ronald B. Tesoriero and Thomas M. Scalea and Timothy C. Fabian},
  journal={Journal of Trauma Nursing},
  year={2015},
  volume={22},
  pages={99–110}
}
Background:Blunt traumatic aortic injury (BTAI) is the second most common cause of death in trauma patients. Eighty percent of patients with BTAI will die before reaching a trauma center. The issues of how to diagnose, treat, and manage BTAI were first addressed by the Eastern Association for the Surgery of Trauma (EAST) in the practice management guidelines on this topic published in 2000. Since that time, there have been advances in the management of BTAI. As a result, the EAST guidelines… 
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The evolution of care improves outcome in blunt thoracic aortic injury: A Western Trauma Association multicenter study
TLDR
The mortality of BTAI continues to decrease and Thoracic endovascular aortic repair, when anatomically suitable, should be the treatment of choice, and process improvement in computed tomography imaging in follow-up of TEVAR is warranted.
Advances in Imaging and Management Trends of Traumatic Aortic Injuries
TLDR
This review highlights the imaging protocol in patients with blunt trauma, CT appearance and grading systems of ATAI, management options, and the role of the multidisciplinary team in the management of these patients.
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TLDR
Diagnosis of ATAI in the setting of blunt or penetrating trauma relies heavily on timely and accurate imaging interpretation, and a meaningful report including appropriate descriptors of the characteristics and location of AT AI should be generated by the radiologist to help direct management.
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The current state of the art regarding management of the critically ill trauma patient with an emphasis on initial management in the ICU is described and multiple, sometimes competing, priorities need to be considered.
Eleven-Year Experience Treating Blunt Thoracic Aortic Injury at a Tertiary Referral Center.
Non-penetrating traumatic injuries of the aortic arch
TLDR
Whenever an individual possibly encountered a deceleration–acceleration trauma mechanism, a high level of suspicion for NAAI should be maintained.
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TLDR
Thoracic aortic endograft repair can be performed in a safe, expeditious fashion and short-term and mid-term outcomes appear excellent, with patient survival based mainly on concomitant traumatic injuries.
Evaluation of patients diagnosed with acute blunt aortic injury and their bedside plain chest radiography in the emergency department: A retrospective study.
TLDR
Though not completely reliable, bedside plain chest radiographs and physical examination findings may be useful in detecting aortic injury during primary survey when the patient is unstable and cannot be sent for chest computerized tomography.
The Evolution of Management Strategies for Blunt Aortic Injury
TLDR
The development of endovascular technology has fundamentally changed the surgical repairs that can be successfully utilized in this challenging patient population.
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References

SHOWING 1-10 OF 59 REFERENCES
Endovascular repair compared with operative repair of traumatic rupture of the thoracic aorta: a nonsystematic review and a plea for trauma-specific reporting guidelines.
TLDR
Reporting guidelines specific to the trauma population that will allow better risk adjustment and improve the quality of the evidence base are recommended.
The effect of changing presentation and management on the outcome of blunt rupture of the thoracic aorta.
Endovascular repair of traumatic thoracic aortic injury: clinical practice guidelines of the Society for Vascular Surgery.
Guidelines for the diagnosis and management of blunt aortic injury: an EAST Practice Management Guidelines Work Group.
In summary, BAI is a lethal result of severe blunt trauma. It should be considered in all patients who sustained injury by a deceleration or acceleration mechanism, especially in the face of physical…
Delayed management of blunt traumatic aortic injury: open surgical versus endovascular repair.
Delayed repair for blunt thoracic aortic injury: is it really equivalent to early repair?
TLDR
Patients with BTAI can safely undergo delayed aortic repair if other injuries warrant a higher treatment priority without increasing their overall risk of mortality, according to a retrospective review of University of Michigan Health System data.
Blunt Traumatic Thoracic Aortic Injuries: Early or Delayed Repair—Results of an American Association for the Surgery of Trauma Prospective Study
Blunt traumatic thoracic aortic injuries: early or delayed repair--results of an American Association for the Surgery of Trauma prospective study.
TLDR
Delayed repair of stable blunt TAI is associated with improved survival, irrespective of the presence or not of major associated injuries, however, delayed repair isassociated with a longer length of ICU stay and in the group of patients with no major associated injury a significantly higher complication rate.
An outcome analysis of endovascular versus open repair of blunt traumatic aortic injuries.
Blunt thoracic aortic injury: a single institution comparison of open and endovascular management.
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