Postoperative Outcomes and Reinterventions Following Fenestrated/Branched Endovascular Aortic Repair in Post-Dissection and Complex Degenerative Abdominal and Thoraco-Abdominal Aortic Aneurysms release_rgpaztg7v5hatgrxdfgk2a7bwy

by Bright BENFOR, Julia Högl, Ryan Gouveia e Melo, Jan Stana, Carlota Fernandez Prendes, Maximilian Pichlmaier, Barbara Rantner, Nikolaos Tsilimparis

Published in Journal of Clinical Medicine by MDPI AG.

2022   Volume 11, Issue 16, p4768

Abstract

Background: The outcome of FBEVAR in post-dissection thoracoabdominal aortic aneurysms has not been well established in the literature. The aim of this study was to compare midterm outcomes following FBEVAR in post-dissection aneurysms to degenerative aneurysms. (2) Methods: This was a retrospective review of all patients undergoing FBEVAR in a single center between 2017 and 2020. The baseline characteristics, intraoperative details, and postoperative outcomes of patients with post-dissection aneurysms were compared to those with degenerative outcomes. The primary end point was unplanned reinterventions. Cox regression analysis was performed to identify the determinants of worse outcomes. Results: A total of 137 subjects with a mean age of 70 ± 10 years were included in the study, out of which 30 presented post-dissection aneurysms (22%). Custom-made devices were employed in 119 patients, off-the-shelf devices in 13 and physician-modified endografts in 5, with incorporation in 505 target vessels. The technical success rate was comparable in both groups (97% vs. 98%, p = 0.21). However, the one-year freedom from unplanned reintervention was lower in the post-dissection group (67% vs. 89%, p = 0.011). Conclusion: FBEVAR in post-dissection aneurysms is associated with a favorable technical success rate, but reintervention rates remain high. Long procedural duration and the use of adjunctive techniques are associated with increased risk of reinterventions.
In application/xml+jats format

Archived Files and Locations

application/pdf  2.0 MB
file_iusifqvsabgsha7ztvberkar2e
mdpi-res.com (publisher)
web.archive.org (webarchive)
Read Archived PDF
Preserved and Accessible
Type  article-journal
Stage   published
Date   2022-08-16
Language   en ?
DOI  10.3390/jcm11164768
PubMed  36013007
PMC  PMC9409799
Journal Metadata
Open Access Publication
In DOAJ
In ISSN ROAD
In Keepers Registry
ISSN-L:  2077-0383
Work Entity
access all versions, variants, and formats of this works (eg, pre-prints)
Catalog Record
Revision: f959ec1d-f24c-4751-b501-0303f15ec770
API URL: JSON