Thoracic Ao Transection

[Roy Danks]

1.8 cm to be exact.  An AneuRx iliac-extension stent was placed.

> From: KMATTOX at aol.com> Date: Tue, 20 Mar 2007 18:16:57 -0400> To: trauma-list at trauma.org> Subject: Re: Thoracic Ao Transection> > 1. First, in all due respect the CTA is a SCREENING tool, and STILL IS > WITH THE FASTER SCANNERS. I continue to see far too many VOMITS from CT and > CTA in the thoracic aorta. > > 2. Your hospital and your surgeons are in a better position at your > trauma center to approach this patients management and timing of treatment than is > the "Heart" Hospital. For a long list of reasons. > > 3. This patient is YOUNG. It is probable that his aorta is less than 22 > mm in diameter. If so, the ONLY approved endograft is far too big and you > risk enfolding, etc. With our current knowledge, unless this patient is really > high risk, I would NOT recommend or support an endograft. > > 4. Because this patient is young and his aorta will dilate with age, I > WOULD NOT put in an endograft for the long term unknowns of endografting. > > 5. Delay in surgery is appropriate in some patients, but do not delay too > long if you are going to do him early. If you delay more than 3 days, you > might wish to delay for 6 weeks or more. The delay in surgery categories > and decisions were made during the days when decision trees were made from > aortography, NOT CTA. DO NOT MAKE A DECESION TO WAIT FOR DELAYED REPAIR BASED > ON THE CTA. Far too little supporting literature to defend you in court. > > > 6. Just bite the bullet and do what is SAFEST. Do an aortogram. Make > a decision about early or delayed treatment. Do the treatment in YOUR > hospital. > > k> > > > ************************************** AOL now offers free email to everyone. > Find out more about what's free from AOL at http://www.aol.com.> --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/
_________________________________________________________________
i'm making a difference. Make every IM count for the cause of your choice. Join Now.
http://clk.atdmt.com/MSN/go/msnnkwme0080000001msn/direct/01/?href=http://im.live.com/messenger/im/home/?source=wlmailtagline