Outcomes of secondary procedures after primary thoracic endovascular aortic repair†

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Michal NozdrzykowskiChristian D Etz

Abstract

The purpose of this study is to retrospectively evaluate, with an 'all-comers' approach, the survival and outcome of patients following secondary surgical or interventional procedures after thoracic endovascular aortic repair (TEVAR). Between October 2002 and December 2013, 371 patients with different aortic pathologies underwent primary TEVAR at our institution. Fifty-six out of the 371 patients (15.1%, 18 females, mean age 62.3 ± 13.7 years) required secondary procedures, either interventionally (N = 31; 55.4%) or surgically (N = 25; 44.6%), due to stent graft-related complications. After TEVAR complications comprised endoleaks (N = 28; 7.5%), organ malperfusion (N = 9; 2.4%), aorto-oesophageal/-bronchial fistulae (N = 9; 2.4%), stent graft infections (N = 4; 1.1%), aneurysm progression (N = 3; 0.8%), retrograde type A aortic dissection (N = 2; 0.5%) and aortic regurgitation (N = 1; 0.3%). The overall in-hospital mortality rate was 10.7% (N = 5): open surgery (N = 1; 4%) versus reintervention (N = 5; 16%; P = 0.14). The cumulative survival rates after secondary procedures at 6 months, 1 year and 3 years were 80.4, 73.5 and 69.3%, respectively. Postoperative complications either for open surgery or reintervention comprised str...Continue Reading

References

Nov 25, 2005·The Annals of Thoracic Surgery·Joseph S CoselliLori D Conklin
Sep 5, 2006·Journal of Vascular Surgery·Shane S ParmerJoseph E Bavaria
Jan 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Joseph E BavariaUNKNOWN Gore TAG Investigators
Feb 6, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ernst WeigangMichael P Siegenthaler
Jun 12, 2008·The Journal of Thoracic and Cardiovascular Surgery·Marek P EhrlichRossella Fattori
Nov 26, 2008·The Journal of Thoracic and Cardiovascular Surgery·Evaldas GirdauskasFriedrich W Mohr
May 30, 2009·Journal of the American College of Surgeons·Elliot L ChaikofAtef A Salam
Jul 30, 2010·The Annals of Thoracic Surgery·Eric E RoselliBruce W Lytle
Oct 12, 2010·Annals of Vascular Surgery·Jean-Marc AlsacJean-Noël Fabiani
Mar 15, 2011·Journal of Vascular Surgery·Paul CernohorskyClark J Zeebregts
May 9, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Martin GrabenwögerUNKNOWN European Association of Percutaneous Cardiovascular Interventions (EAPCI)
Feb 22, 2013·Vascular and Endovascular Surgery·Dorothee H L BailJohannes Giehl
Apr 10, 2013·The Annals of Thoracic Surgery·Shunsuke MiyaharaYutaka Okita
Apr 12, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Maximilian LuehrFriedrich-Wilhelm Mohr
Jun 13, 2013·Journal of Vascular Surgery·Javairiah FatimaThomas C Bower
Jun 14, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Michal NozdrzykowskiFriedrich-Wilhelm Mohr
Aug 2, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Martin CzernyMichael Grimm
Oct 9, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C D EtzF W Mohr
Jan 15, 2014·The Annals of Thoracic Surgery·Eric E RoselliJoseph F Sabik
Apr 20, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Maximilian LuehrFriedrich-Wilhelm Mohr

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Citations

Feb 28, 2016·Journal of Vascular Surgery·Moritz S BischoffDittmar Böckler
Jun 18, 2016·General Thoracic and Cardiovascular Surgery·Joseph S CoselliSusan Y Green
Nov 15, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mikolaj BerezowskiBartosz Rylski
Sep 15, 2017·Journal of the American Heart Association·Ivancarmine GambardellaLeonard N Girardi
Apr 27, 2018·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Taijiro SuedaKeijiro Katayama
Apr 25, 2018·Journal of Cardiac Surgery·Seok In LeeChul-Hyun Park
Sep 26, 2020·The Annals of Thoracic Surgery·Yaojun DunCuntao Yu
Sep 29, 2019·The Journal of Thoracic and Cardiovascular Surgery·Yuki IkenoYutaka Okita

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