Endovascular Treatment of Degenerative Aneurysms Involving Only the Descending Thoracic Aorta: Systematic Review and Meta-analysis

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Fausto BiancariTatu Juvonen

Abstract

To determine the efficacy of thoracic endovascular aortic repair (TEVAR) for degenerative aneurysm involving only the descending thoracic aorta (DTAA). An English-language literature review was performed through PubMed, Scopus, and Google Scholar to identify any study evaluating the outcomes of TEVAR for DTAA. The main endpoints of this analysis were all-cause 30-day and late postoperative mortality. Secondary outcome measures were procedure success, vascular access complications, paraplegia, stroke, early endoleaks during the index hospitalization, aneurysm-related death, reinterventions, and conversion to open repair. To control for the anticipated heterogeneity among small observational studies, absolute values and means were pooled using random effects models; the results are expressed as pooled proportions, means, or risk ratio (RR) with 95% confidence intervals (CIs). Eleven studies reporting on 673 patients (mean age 72.6 years, mean aneurysm diameter 62.9 cm) with DTAA were selected for the analysis. Technical success was reported in 91.0% of patients, and vascular access complications requiring repair were encountered in 9.7% of cases. Pooled overall 30-day, 1-year, 2-year, and 3-year survival rates were 96.0%, 80.3%, ...Continue Reading

References

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Citations

Aug 1, 2016·Journal of Shoulder and Elbow Surgery·Pierre TessonJean Picquet
Aug 18, 2012·The Journal of Thoracic and Cardiovascular Surgery·Nimesh D DesaiJoseph E Bavaria
Oct 24, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Arudo HiraokaHidenori Yoshitaka
Nov 14, 2019·Interactive Cardiovascular and Thoracic Surgery·Bartosz RylskiMartin Czerny
Aug 5, 2020·Interactive Cardiovascular and Thoracic Surgery·Yaojun DunCuntao Yu
Sep 2, 2020·Cardiovascular and Interventional Radiology·Enrico RinaldiRoberto Chiesa
Mar 16, 2021·Journal of Vascular Surgery Cases and Innovative Techniques·Hiromitsu TerataniHideichi Wada
Dec 12, 2018·Journal of Vascular Surgery·Theodoros KratimenosMichalis Argiriou

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Methods Mentioned

BETA
dissection

Software Mentioned

Google Scholar
Open Meta - Analyst
PubMed
Scopus

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