Outcomes of Elective and Non-elective Fenestrated-branched Endovascular Aortic Repair for Treatment of Thoracoabdominal Aortic Aneurysms

医学 四分位间距 择期手术 外科 危险系数 主动脉瘤 置信区间 入射(几何) 动脉瘤 内科学 物理 光学
作者
Marina Dias‐Neto,Andrea Vacirca,Ying Huang,Aidin Baghbani‐Oskouei,Tomasz Jakimowicz,Bernardo C. Mendes,Tilo Kölbel,Jonathan Sobocinski,L. Bertoglio,Barend Mees,Mauro Gargiulo,Nuno Dias,Andres Schanzer,Warren J. Gasper,Adam W. Beck,Mark A. Farber,Kevin Mani,Carlos H. Timaran,Darren B. Schneider,Luís Mendes Pedro,Nikolaos Tsilimparis,Stéphan Haulon,Matthew P. Sweet,E. Ferreira,Matthew J. Eagleton,Kak Khee Yeung,Manar Khashram,Katarzyna Jama,Giuseppe Panuccio,Fiona Rohlffs,Thomas Mesnard,R. Chiesa,Andrea Kahlberg,Geert Willem H. Schurink,Charlotte C. Lemmens,E. Gallitto,G. Faggioli,Angelos Karelis,E Parodi,Vivian Carla Gomes,A. Wanhainen,Mohammad Ahsan Habib,Jesus Porras Colon,Felipe Pavarino,Mirza S. Baig,R. E. C. Gouveia E Melo,Sean A. Crawford,Sara L. Zettervall,Rita Garcia,Tiago Ribeiro,Gonçalo Alves,Frederico Bastos Gonçalves,Kaj O. Kappe,Samira Elize Mariko van Knippenberg,B. L. Tran,Sinead Gormley,Gustavo S. Oderich
出处
期刊:Annals of Surgery [Lippincott Williams & Wilkins]
卷期号:278 (4): 568-577 被引量:10
标识
DOI:10.1097/sla.0000000000005986
摘要

To describe outcomes after elective and non-elective fenestrated-branched endovascular aortic repair (FB-EVAR) for thoracoabdominal aortic aneurysms (TAAAs).FB-EVAR has been increasingly utilized to treat TAAAs; however, outcomes after non-elective versus elective repair are not well described.Clinical data of consecutive patients undergoing FB-EVAR for TAAAs at 24 centers (2006-2021) were reviewed. Endpoints including early mortality and major adverse events (MAEs), all-cause mortality, and aortic-related mortality (ARM), were analyzed and compared in patients who had non-elective versus elective repair.A total of 2603 patients (69% males; mean age 72±10 year old) underwent FB-EVAR for TAAAs. Elective repair was performed in 2187 patients (84%) and non-elective repair in 416 patients [16%; 268 (64%) symptomatic, 148 (36%) ruptured]. Non-elective FB-EVAR was associated with higher early mortality (17% vs 5%, P <0.001) and rates of MAEs (34% vs 20%, P <0.001). Median follow-up was 15 months (interquartile range, 7-37 months). Survival and cumulative incidence of ARM at 3 years were both lower for non-elective versus elective patients (50±4% vs 70±1% and 21±3% vs 7±1%, P <0.001). On multivariable analysis, non-elective repair was associated with increased risk of all-cause mortality (hazard ratio, 1.92; 95% CI] 1.50-2.44; P <0.001) and ARM (hazard ratio, 2.43; 95% CI, 1.63-3.62; P <0.001).Non-elective FB-EVAR of symptomatic or ruptured TAAAs is feasible, but carries higher incidence of early MAEs and increased all-cause mortality and ARM than elective repair. Long-term follow-up is warranted to justify the treatment.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
苏y完成签到,获得积分10
刚刚
华仔应助嘻哈采纳,获得10
刚刚
科研通AI5应助优秀的绿蕊采纳,获得10
3秒前
健忘的初翠完成签到,获得积分10
3秒前
5秒前
lwm不想看文献完成签到 ,获得积分10
5秒前
7秒前
拼搏一曲发布了新的文献求助10
8秒前
CAOHOU应助科研通管家采纳,获得10
9秒前
共享精神应助科研通管家采纳,获得10
9秒前
CAOHOU应助科研通管家采纳,获得10
9秒前
SYLH应助科研通管家采纳,获得20
9秒前
乐乐应助科研通管家采纳,获得10
9秒前
汉堡包应助科研通管家采纳,获得10
9秒前
FashionBoy应助科研通管家采纳,获得10
9秒前
桐桐应助科研通管家采纳,获得10
9秒前
9秒前
深情安青应助科研通管家采纳,获得10
9秒前
CAOHOU应助科研通管家采纳,获得10
9秒前
SYLH应助科研通管家采纳,获得10
9秒前
CAOHOU应助科研通管家采纳,获得10
9秒前
Owen应助科研通管家采纳,获得10
10秒前
SYLH应助科研通管家采纳,获得10
10秒前
SYLH应助科研通管家采纳,获得10
10秒前
10秒前
酷波er应助科研通管家采纳,获得10
10秒前
wushuwen发布了新的文献求助10
10秒前
11秒前
xuan完成签到,获得积分10
12秒前
完美世界应助段一帆采纳,获得10
14秒前
少敏敏完成签到,获得积分10
16秒前
may发布了新的文献求助10
16秒前
21秒前
23秒前
兜兜关注了科研通微信公众号
23秒前
wbh完成签到,获得积分10
24秒前
太牛的GGB发布了新的文献求助10
24秒前
wbh发布了新的文献求助10
26秒前
乐乐应助may采纳,获得10
26秒前
顺利的梦菲完成签到 ,获得积分10
27秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989378
求助须知:如何正确求助?哪些是违规求助? 3531442
关于积分的说明 11254002
捐赠科研通 3270126
什么是DOI,文献DOI怎么找? 1804887
邀请新用户注册赠送积分活动 882087
科研通“疑难数据库(出版商)”最低求助积分说明 809173