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Updated: Jun 14, 2025
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
The optimal management of blunt aortic injury in the young
Benjamin R Zambetti1, Adam C Nelson2, Hamidreza Hosseinpour2
1Division of Vascular Surgery, University of Maryland, Baltimore, MD, USA.
Background:
Blunt aortic injury (BAI) is relatively uncommon in the pediatric population. The goal of this study was to examine the management of BAI in both children and adolescents, using a large national dataset.
Methods:
Patients (1-19 years of age) with BAI were identified from the Trauma Quality Improvement Program (TQIP) database over 14-years. Patients were stratified by age group (children [ages 1-9] and adolescents [ages 10-19]) and compared. Multivariable logistic regression (MLR) analysis was performed to determine independent predictors of mortality in adolescents with BAI.
Results:
Adolescents undergoing TEVAR had similar morbidity (16.8 vs 12.6 %, p = 0.057) and significantly reduced mortality (2.1 vs 14.4 %, p < 0.0001) compared to those adolescents managed non-operatively. MLR identified use of TEVAR as the only modifiable risk factor significantly associated with reduced mortality (OR 0.138; 95%CI 0.059-0.324, p < 0.0001).
Conclusions:
BAI leads to significant morbidity and mortality for both children and adolescents. For pediatric patients with BAI, children may be safely managed non-operatively, while an endovascular repair may improve outcomes for adolescents.
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