TEVAR

Endovascular Today – Blunt Thoracic Aortic Injury: Current Issues and Endovascular Treatment Paradigms September 2014

The 2011 SVS TEVAR for BTAI clinical guidelines raised a number of unanswered questions.How have they been resolved since then?

via Endovascular Today – Blunt Thoracic Aortic Injury: Current Issues and Endovascular Treatment Paradigms September 2014.

this is a really good article on the current status of the treatment of Blunt Thoracic Aortic Injury. Frequently fatal at scene, these injuries are considered rare, but are increasingly diagnosed as imaging technology improves and prehospital treatment gets better at delivering survivors of major trauma.

The chances of survival have increased as a result of the shift in management from heroic, frequently futile and complicated open surgery only performed by a handful of heroic surgeons. You would be lucky to have your injury and survive to get such expertise dealing with you. Now most major trauma centres will be within reach, experienced in endovascular techniques and be easily capable of performing a thoracic stent insertion for traumatic injury.

The issues resolved in this article will help even those centres who do relatively few of these procedures to deliver care with safety.