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Impact of Thoracic Endovascular Aortic Repair Following Blunt Traumatic Thoracic Aortic Injury on Blood Pressure by Andrea Guala; Daniel Gil-Sala; Marvin E. Garcia Reyes; Maria A. Azancot; Lydia Dux-Santoy; Nicolas Allegue Allegue; Gisela Teixido-Turà; Gabriela Goncalves Martins; Laura Galian-Gay; Juan Garrido-Oliver; Ivan Constenla García; Arturo Evangelista; Cristina Tello Díaz; Alejandro Carrasco-Poves; Alberto Morales-Galán; Ignacio Ferreira-González; Jose Rodríguez-Palomares; Sergi Bellmunt Montoya is a Medicine article available to read on EtoBox.

What is Impact of Thoracic Endovascular Aortic Repair Following Blunt Traumatic Thoracic Aortic Injury on Blood Pressure about?

Background: Blunt traumatic thoracic aortic injuries (BTAIs) are associated with a high mortality rate. Thoracic endovascular aortic repair (TEVAR) is the most frequently used surgical strategy in patients with BTAI, as it offers good short-and middle-term results. Previous studies have reported an abnormally high prevalence of hypertension (HT) in these patients. This work aimed to describe the long-term prevalence of HT and provide a comprehensive evaluation of the biomechanical, clinical, and functional factors involved in HT development. Methods: Twenty-six patients treated with TEVAR following BTAI with no history of HT at the time of trauma were enrolled. They were matched with 37 healthy volunteers based on age, sex, and body surface area and underwent a comprehensive follow-up study, including cardiovascular magnetic resonance, 24-hour ambulatory blood pressure monitoring, and assessment of carotid-femoral pulse wave velocity (cfPWV, a measure of aortic stiffness) and flow-mediated vasodilation. Results: The mean patient age was 43.5 AE 12.9 years, and the majority were male (23 of 26; 88.5%). At a mean of 120.2 AE 69.7 months after intervention, 17 patients (65%) presented

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Author

Andrea Guala; Daniel Gil-Sala; Marvin E. Garcia Reyes; Maria A. Azancot; Lydia Dux-Santoy; Nicolas Allegue Allegue; Gisela Teixido-Turà; Gabriela Goncalves Martins; Laura Galian-Gay; Juan Garrido-Oliver; Ivan Constenla García; Arturo Evangelista; Cristina Tello Díaz; Alejandro Carrasco-Poves; Alberto Morales-Galán; Ignacio Ferreira-González; Jose Rodríguez-Palomares; Sergi Bellmunt Montoya

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)