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예진봉 ( Jin Bong Ye ),설영훈 ( Young Hoon Sul ),문윤수 ( Yun Su Mun ),고승제 ( Seung Je Go ),권오상 ( Oh Sang Kwon ),구관우 ( Gwan Woo Ku ),이민구 ( Min Koo Lee ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.3
Neck trauma is a relatively uncommon but can be a life-threatening injury. Several guidelines for neck trauma is established to recommend a proper management such as no clamping of bleeding vessels, no probing of wounds, Trendelenberg position for preventing venous air embolism. Here, we present a regretful case of 49-year-old man with neck trauma presenting undesired bleeding after probing of wound, and then discuss about treatment guildeline for neck trauma with a review. [ J Trauma Inj 2015; 28: 198-201 ]
둔상에 의한 흉부대동맥 손상에서 TEVAR에 관한 임상연구
구관우 ( Gwan Woo Ku ),최진호 ( Jin Ho Choi ),최민석 ( Min Suk Choi ),박상순 ( Sang Soon Park ),설영훈 ( Young Hoon Su ),고승제 ( Seung Je Go ),예진봉 ( Jin Bong Ye ),김중석 ( Joong Suck Kim ),김영철 ( Yeong Cheol Kim ),황정주 ( J 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.4
Purpose: Thoracic aortic injury is a life-threatening injury that has been traditionally treated by using surgical management. Recently, thoracic endovascular aortic repair (TEVAR) has been conducted pervasively as a better alternative treatment method. Therefore, this study will focus on analyzing the outcome of TEVAR in patients suffering from a blunt thoracic aortic injury. Methods: Of the blunt thoracic aortic injury patients admitted to Eulji University Hospital, this research focused on the 11 patients who had received TEVAR during the period from January 2008 to April 2014. Results: Seven of the 11 patients were male. At the time of admission, the mean systolic pressure was 105.64±24.60 mm Hg, and the mean heart rate was 103.64±20.02 per minute. The median interval from arrival to repair was 7 (4, 47) hours. The mean stay in the ICU was 21.82±16.37 hours. In three patients, a chimney graft technique was also performed to save the left subclavian artery. In one patient, a debranching of the aortic arch vessels was performed. In two patients, the left subclavian artery was totally covered. In one patient whose proximal aortic neck length was insufficient, the landing zone was extended by using a prophylactic left subclavian artery to left common carotid artery bypass before TEVAR. There were no operative mortalities, but a patient who was covered of left subclavian artery died from ischemic brain injury. Complications such as migration, endovascular leakage, collapse, infection and thrombus did not occur. Conclusion: Our short-term outcomes of TEVAR for blunt thoracic aorta injury was feasible. Left subclavian artery may be sacrificed if the proximal landing zone is short, but several methods to continue the perfusion should be considered. [ J Trauma Inj 2015; 28: 232-240 ]