Mid-term outcomes from a multicenter study: Is TEVAR safe for ascending aortic dissection?

International Journal of Cardiology
Qingsheng LuZaiping Jing

Abstract

This study aims to report mid-term follow-up outcomes of a series of TAAD patients treated with TEVAR in China. Thoracic endovascular aortic repair (TEVAR) has been used to treat type A aortic dissection (TAAD) for years. However, by comparing public reports, their outcomes which were based on different sample sizes show inconsistency. Between January 2001 and December 2015, there were 56 patients with TAAD received TEVAR identified in 5 medical centers. The morphology changes and early and late outcomes were recorded and analyzed. 56 patients (aged 38 to 80) with TAAD received TEVAR. The average follow-up period was 39.92 ± 34.42 months (ranging from 11 to 140 months). 54 (96.43%) cases were technically successful. 1 patient died on day 2 after TEVAR because of stent graft migration during the procedure. There were 7 early events (within 30 days), including sudden death (1), cerebral infarction (3), stent graft migration (1), new dissection (1) and respiratory failure (1). The 30-day overall survival rate was 92.9%. 27 late events occurred during the follow-up: retrograde dissection (8), endoleak (5), coronary artery stenosis (3), cerebral infarction (3), new dissection (2), multiple organ dysfunction syndrome (1), left ventri...Continue Reading

Citations

Oct 9, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Lei ZhangZaiping Jing
Sep 13, 2019·The Journal of International Medical Research·Amer HarkyBeverly MacCarthy-Ofosu
Dec 4, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Lei ZhangQing-Sheng Lu
Dec 4, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Wassim Shatila, Zvonimir Krajcer
Oct 9, 2020·Journal of Cardiac Surgery·Santi TrimarchiGabriele Piffaretti
Jan 5, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Gabriele PiffarettiSanti Trimarchi
Feb 17, 2021·Journal of Vascular Surgery·Simon De FreitasEdward Y Woo
Jan 11, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Fengshi LiXiaobing Liu
Aug 17, 2020·Heart, Lung & Circulation·Amer HarkyAhmed Othman
Nov 13, 2020·Seminars in Thoracic and Cardiovascular Surgery·Lixin WangWeiguo Fu

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