Recent advances in diagnosis and treatment of blunt aortic injury

doi:10.3877/cma.j.issn.1673-9450.2023.05.013

Abstract

Abstract:

Blunt aortic injury is a potentially fatal vascular trauma. However, due to its non-specific clinical manifestations and common combination with other traumas, it is difficult to be diagnosed and treated in time in many cases. Computed tomography angiography (CTA) has become the first choice for the diagnosis of blunt aortic injury. The grade of arterial injury based on CTA is an important determinant for perioperative mortality, as well as the indication of treatment. According to the severity of arterial injury, patients may receive conservative or surgical treatment. As long as the anatomical and clinical conditions permit, the mainstream operation is endovascular repair. Endovascular repair has a significant advantage over open surgery in reducing perioperative complications and death. This article reviewed the research progress of diagnosis, classification and treatment of blunt aortic injury, aiming to provide reference for clinical diagnosis and treatment of blunt aortic injury.

Key words: Aorta, Blunt injury, Endovascular repair

Xihao Zhang, Zuoguan Chen, Yongjun Li. Recent advances in diagnosis and treatment of blunt aortic injury[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(05): 438-441.

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