Cohort comparison of thoracic endovascular aortic repair with open thoracic aortic repair using modern end-organ preservation strategies

Annals of Vascular Surgery
Dean J ArnaoutakisJames H Black

Abstract

Pivotal trials showed that thoracic endovascular aortic repair (TEVAR) has improved outcomes compared with open surgery for treating descending thoracic aortic aneurysms. However, those trials included historical open controls in which modern end-organ preservation strategies were not routinely employed. To create a more level assessment, we compared our outcomes of elective TEVAR with modern open thoracic aortic repair (OTAR) controls. A retrospective review of thoracic aortic aneurysm patients undergoing TEVAR was compared with a contemporaneous cohort of OTAR patients. Partial bypass or hypothermic circulatory arrest was used in all OTAR patients. Cerebrospinal fluid drain placement was attempted in all patients. Preoperative characteristics, operative variables, and outcomes were recorded, and the Kaplan-Meier method was used for survival estimates. The main outcome was mortality. Secondary outcomes included postoperative spinal cord ischemia (SCI) or stroke, and any persistent neurologic deficit 30 days following the operation. During the study period, 62 patients underwent TEVAR and 56 underwent OTAR with median follow-up of 23.7 months and 36.4 months, respectively. No difference existed between the TEVAR and OTAR with r...Continue Reading

References

Oct 1, 1996·The Annals of Thoracic Surgery·A C GallowayS B Colvin
Sep 10, 2002·Journal of Vascular Surgery·Tam T T HuynhHazim J Safi
Apr 6, 2004·The Annals of Thoracic Surgery·Joseph S CoselliGerald J Adams
Jan 24, 2006·The Annals of Thoracic Surgery·Anne KuitunenVille Pettilä
Mar 15, 2006·Seminars in Vascular Surgery·James H Black, Richard P Cambria
Jun 9, 2006·The New England Journal of Medicine·Lesley A StevensAndrew S Levey
Aug 9, 2006·The American Journal of Cardiology·Holger EggebrechtRajendra H Mehta
Jan 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Joseph E BavariaUNKNOWN Gore TAG Investigators
Nov 21, 2007·The Journal of Thoracic and Cardiovascular Surgery·George J ArnaoutakisThomas M Beaver
Feb 5, 2008·Journal of Vascular Surgery·Jon S MatsumuraUNKNOWN TX2 Clinical Trial Investigators
Jun 24, 2008·Journal of Vascular Surgery·Ronald M FairmanUNKNOWN VALOR Investigators
Mar 25, 2009·Journal of Vascular Surgery·Babak J OrandiGilbert R Upchurch
Dec 5, 2009·Journal of Vascular Surgery·Richard P CambriaUNKNOWN GORE TAG Investigators
Sep 11, 2010·Vascular and Endovascular Surgery·George J ArnaoutakisJames H Black
Oct 5, 2010·Journal of Vascular Surgery·Mark F FillingerUNKNOWN Society for Vascular Surgery Ad Hoc Committee on TEVAR Reporting Standards
Oct 19, 2010·The Journal of Thoracic and Cardiovascular Surgery·Raja R GopaldasJoseph S Coselli
Dec 1, 2010·The Journal of Thoracic and Cardiovascular Surgery·George T PisimisisRodney A White
May 31, 2011·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·George J ArnaoutakisAshish S Shah
Aug 18, 2012·The Journal of Thoracic and Cardiovascular Surgery·Nimesh D DesaiJoseph E Bavaria
Oct 13, 2012·Journal of Vascular Surgery·Gabriele PiffarettiPatrizio Castelli

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Citations

Jan 14, 2016·Expert Review of Cardiovascular Therapy·Francesca TerziRossella Fattori
Jul 31, 2020·Vascular and Endovascular Surgery·Khalil QatoAlfio Carroccio
May 26, 2020·Cardiovascular and Interventional Radiology·A Claire WatkinsMichael D Dake
May 7, 2020·Diagnostics·Zbigniew KrasinskiKrzysztof Pawlaczyk

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