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J Thorac Cardiovasc Surg 2009;138:768-769
© 2009 The American Association for Thoracic Surgery

Brief Technique Report

Open versus endovascular repair of traumatic aortic rupture: A systematic review

Enoch Akowuah, MD, MRCS, FRCS (C-Th), Gianni Angelini, MD, MCh, FRCS, Alan J. Bryan, DM, FRCS (C-Th)*

Bristol Heart Institute at the Bristol Royal Infirmary, Bristol, United Kingdom

Received for publication March 31, 2008; revisions received April 25, 2008; accepted for publication May 16, 2008.

* Address for reprints: Alan J. Bryan, DM, FRCS (C-Th), Consultant Cardiac Surgeon, Bristol Heart Institute, Bristol Royal Infirmary, Upper Maudlin Street, Bristol BS2 8HN, United Kingdom. (Email: Alan.Bryan@ubht.swest.nhs.uk).

The first 20% of the full text of this article appears below.


   Introduction
 
There have been several case reports, retrospective series, and registry data describing treatment of patients with traumatic aortic rupture (TAR) using endovascular stents (ES).1Go Most are single-center studies with a limited number of patients. Few studies compare conventional surgical repair (SR) with ES. We performed a systematic review of these studies in an attempt to quantify the benefits of ES for TAR.


   Methods
 
A systematic search of MEDLINE, EMBASE, and the Cochrane Library was undertaken. The key words used were "aortic rupture," "traumatic aortic rupture," "thoracic aorta," and "endovascular."

To maximize the sensitivity, we identified all published and unpublished articles comparing SR with ES of TAR. Where available, abstracts from major cardiology and cardiothoracic scientific meetings were hand-searched. For all articles, references were checked for relevant articles to ensure that a complete data set was obtained.

Only articles that specifically addressed TAR were included. Articles describing acute aortic rupture, . . . [Full Text of this Article]




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