Contemporary evaluation of mortality and stroke risk after thoracic endovascular aortic repair

Journal of Vascular Surgery
Frances Y HuRavi K Veeraswamy

Abstract

During the past decade, thoracic endovascular aortic repair (TEVAR) has increased as a treatment option for a variety of aortic pathologic processes. Despite this rise in the use of thoracic stent grafts, real-world outcomes from a robust, adjudicated, contemporary data set have yet to be reported. Previous studies have shown periprocedural mortality rates between 1.5% and 9.5% and procedure-related stroke rates of 2.3% to 8.2%. With advances in device engineering and increased experience of physicians, we hypothesized that the rates of these complications would be reduced in a more recent sample set. The purpose of this study was to determine current rates of mortality and stroke after TEVAR, to identify risk factors that contribute to 30-day mortality, and to develop a simple scoring system that allows risk stratification of patients undergoing TEVAR. We examined the 30-day mortality rate after TEVAR using the 2013 to 2014 American College of Surgeons National Surgical Quality Improvement Program database. Patients undergoing TEVAR for all aortic disease were identified using procedure codes. Bivariate analyses were performed to evaluate the association of preoperative, intraoperative, and postoperative variables with 30-day ...Continue Reading

Citations

Jun 26, 2018·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Mårten FalkenbergPer Skoog
May 16, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Vladimir MakaloskiTilo Kölbel
Apr 26, 2019·VASA. Zeitschrift für Gefässkrankheiten·Jonathan BathTodd R Vogel
Aug 31, 2020·Journal of Vascular Surgery·Kirthi S BellamkondaCassius I Ochoa Chaar
Apr 9, 2021·Annals of Vascular Surgery·Carla Lorena Blanco AmilVincent Riambau

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