Abstract | OBJECTIVE: METHODS: Between 1997 and 2010, 269 patients were treated with TEVAR, 100 of them (72 male; mean age, 68.3 years) for aneurysmal disease. An intact TAA (iTAA) was present in 49 patients and an intact TAAA (iTAAA) in 18. In 25 patients, there was a ruptured TAA or ruptured TAAA (rTAA). Eight patients were admitted with a post-traumatic TAA (pTAA). Retrospective analysis was performed from a prospectively maintained database. Primary end points were 5-year all-cause and TEVAR-related mortality. Secondary end points were causes of death, complications, and reinterventions (RIs). A 5-year follow-up was complete in all cases. RESULTS: The overall 5-year mortality rate was 50% (40.8% in iTAA, 80% in rTAA, 12.5% in pTAA, and 50% in iTAAA, respectively; log-rank test, P = .00012). The overall procedure-related mortality was 21% (10.2% [n = 5] in iTAA, 40% [n = 10] in rTAA, 33% [n = 6] in iTAAA, and 0 in pTAA, respectively; log-rank test, P = .00013). Freedom from complication was 52%, 47.2%, and 47.2% at 1, 3, and 5 years, respectively. There were a total of 30 RIs in 25 patients. Freedom from RI was 82%, 77.8%, and 71.2% at 1, 3, and 5 years. Stepwise forward logistic regression analysis revealed rTAA and occurrence of complications were risk factors for survival (odds ratios, 7.7 and 4.2, respectively). CONCLUSIONS: Long-term results after TEVAR for aneurysmatic aortic disease demonstrate considerable overall and procedure-related mortality in both elective and urgent indications. Complications and RIs occur still as late events and emphasize the necessity for long-term follow-up.
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Authors | Moritz S Bischoff, Marius Ante, Katrin Meisenbacher, Dittmar Böckler |
Journal | Journal of vascular surgery
(J Vasc Surg)
Vol. 63
Issue 5
Pg. 1170-1181.e1
(05 2016)
ISSN: 1097-6809 [Electronic] United States |
PMID | 26921004
(Publication Type: Journal Article)
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Copyright | Copyright © 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved. |
Topics |
- Adult
- Aged
- Aged, 80 and over
- Aorta, Thoracic
(diagnostic imaging, surgery)
- Aortic Aneurysm, Thoracic
(diagnostic imaging, mortality, surgery)
- Aortic Rupture
(diagnostic imaging, surgery)
- Blood Vessel Prosthesis Implantation
(adverse effects, mortality)
- Cause of Death
- Disease-Free Survival
- Elective Surgical Procedures
- Emergencies
- Endovascular Procedures
(adverse effects, mortality)
- Female
- Germany
- Humans
- Kaplan-Meier Estimate
- Male
- Middle Aged
- Odds Ratio
- Postoperative Complications
(etiology, mortality, therapy)
- Retreatment
- Retrospective Studies
- Risk Factors
- Time Factors
- Treatment Outcome
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