Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/30859
Title: | Overall survival and factors predicting long-term outcome after thoracic aortic endovascular repair | Authors: | De Coster, B. Houthoofd, S. LAENEN, Annouschka Fourneau, I. Maleux, G. |
Issue Date: | 2021 | Publisher: | SAGE PUBLICATIONS LTD | Source: | Scandinavian journal of surgery (Print), 110 (3), p. 386-394 | Abstract: | Purpose: To assess overall survival and to determine factors predicting outcome after thoracic endovascular aortic repair. Materials and methods: A Retrospective analysis was performed on a cohort of 212 consecutive patients (165 men and 47 women; mean age 64 years) who underwent thoracic endovascular aortic repair in a tertiary referral center for aortic disease. Main indications were true thoracic aortic aneurysm (n = 58; 27.6%), traumatic aortic rupture (n = 33; 15.7%), anastomotic pseudoaneurysms (n = 23; 10.9%), chronic type B aortic dissection (n = 22; 10.5%), and symptomatic, acute type B dissection (n = 21; 10.0%). In 79 patients (37.3%), a hybrid procedure, including supra-aortic rerouting, was performed. Kaplan-Meier estimates were used for overall survival and Cox regression models were used for univariable analysis of the association between risk factors and survival. Results: Proximal landing zones were predominantly zone 3 (n = 66; 31.3%), zone 2 (n = 63; 29.9%), and zone 1 (n = 38; 18%). In-hospital mortality was n = 18 (8.5%). Overall survival was 79.6%, 65.9%, and 51.1% at 2, 5, and 10 years, respectively; better overall survival was shown for traumatic aortic rupture, anastomotic pseudoaneurysms, and chronic posttraumatic pseudoaneurysms (p < 0.05). Clinical risk factors influencing overall survival include prior coronary bypass surgery, atrial flutter, arterial hypertension, renal failure, chronic obstructive pulmonary disease, and associated abdominal aortic aneurysm (p < 0.05). Conclusion: Thoracic endovascular aortic repair is an effective treatment option for various thoracic aortic diseases with highest survival rates for traumatic aortic rupture and anastomotic pseudoaneurysms. Several clinical parameters are identified as risk factors for overall survival. | Notes: | Maleux, G (reprint author), Univ Hosp Leuven, Dept Radiol, Herestr 49, B-3000 Louvain, Belgium. geert.maleux@uzleuven.be |
Other: | Maleux, G (reprint author), Univ Hosp Leuven, Dept Radiol, Herestr 49, B-3000 Louvain, Belgium. geert.maleux@uzleuven.be | Keywords: | Vascular surgery;cardiothoracic surgery;anastomotic pseudoaneurysm;chronic posttraumatic pseudoaneurysm;thoracic endovascular aortic repair;long-term overall survival after thoracic endovascular aortic repair | Document URI: | http://hdl.handle.net/1942/30859 | ISSN: | 1457-4969 | e-ISSN: | 1799-7267 | DOI: | 10.1177/1457496920910004 | ISI #: | WOS:000517881600001 | Rights: | The Finnish Surgical Society 2021 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2021 |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
coster-et-al-2020-overall-survival-and-factors-predicting-long-term-outcome-after-thoracic-aortic-endovascular-repair (1).pdf Restricted Access | Published version | 431.41 kB | Adobe PDF | View/Open Request a copy |
WEB OF SCIENCETM
Citations
2
checked on Oct 13, 2024
Page view(s)
42
checked on Sep 7, 2022
Download(s)
8
checked on Sep 7, 2022
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.