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dc.contributor.authorMosquera Rodríguez, Víctor Xesús
dc.contributor.authorMarini, Milagros
dc.contributor.authorCao, Ignacio
dc.contributor.authorGulías, Daniel
dc.contributor.authorMuñiz, Javier
dc.contributor.authorHerrera-Noreña, José M.
dc.contributor.authorCuenca, José J.
dc.date.accessioned2015-08-27T08:14:58Z
dc.date.available2015-08-27T08:14:58Z
dc.date.issued2012-03-02
dc.identifier.citationMosquera VX, Marini M, Cao I, Gulías D, Muñiz J, Herrera-Noreña JM, Cuenca JJ. Traumatic aortic injuries associated with major visceral vascular injuries in major blunt trauma patients. World J Surg. 2012;36:1571-1580es_ES
dc.identifier.urihttp://hdl.handle.net/2183/14887
dc.description.abstract[Abstract] Background. The objectives of this study were to report the clinical and radiological characteristics and outcomes of a series of acute traumatic aortic injuries (ATAIs) with associated injury to major aortic abdominal visceral branches (MAAVBs). Methods. From January 2000 to August 2011, 10 consecutive major blunt trauma patients with associated ATAI and injury to MAAVBs (group A) and 42 major blunt trauma patients presenting only an ATAI without MAAVB injuries (group B) were admitted to our institution. Results. Overall in-hospital mortality was 32.7%. In-hospital mortality in group A was 40% and in group B it was 31% (p = 0.86). Observed in-hospital mortality was slightly lower than the expected in-hospital mortality in both groups. Mean peak creatine phosphokinase was significantly higher in group A than in group B patients (23,008 ± 33,400 vs. 3,970 ± 3,495 IU/L; p < 0.001). Acute renal injury occurred in 50% of group A and in 26.2% of group B patients. Hemodiafiltration was required in 30% of group A and in 9.5% of group B patients. Median follow-up time was 64 months (range = 1–130 months). Group A survival was 60% at 1, 5 and 10 years. Group B survival was 69% at 1 year and 63.3% at 5 and 10 years (p = 0.15). Conclusions. Aortic injuries associated with MAAVB injuries in major trauma patients seem to present in a different clinical scenario. These patients present increased risk of rhabdomyolysis, visceral ischemia, and acute renal failure, as well as higher in-hospital mortality. A multidisciplinary approach combining endovascular and open surgical techniques for a staged treatment of these life-threatening aortic and MAAVB injuries is mandatory in this critical subset of trauma patients.es_ES
dc.language.isoenges_ES
dc.publisherSpringeres_ES
dc.relation.urihttp://dx.doi.org/10.1007/s00268-012-1536-xes_ES
dc.rightsThe final publication is avaliable at link.spinger.comes_ES
dc.titleTraumatic aortic injuries associated with major visceral vascular injuries in major blunt trauma patientses_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.rights.accessinfo:eu-repo/semantics/openAccesses_ES


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