التفاصيل البيبلوغرافية
| العنوان: |
Multicenter Comparison of Aortic Arch Aneurysms and Dissections Zone 0 Hybrid and Total Endovascular Repair. |
| المؤلفون: |
Frola, Edoardo, Mortola, Lorenzo, Ferrero, Emanuele, Ferri, Michelangelo, Apostolou, Dimitrios, Quaglino, Simone, Maione, Massimo, Gaggiano, Andrea |
| المصدر: |
CardioVascular & Interventional Radiology; Dec2023, Vol. 46 Issue 12, p1674-1683, 10p |
| مصطلحات موضوعية: |
AORTIC arch aneurysms, ENDOVASCULAR surgery, DISSECTING aneurysms, ENDOVASCULAR aneurysm repair, HYBRID zones, BLOOD vessel prosthesis |
| مستخلص: |
Purpose: Comparison of hybrid and total endovascular aortic arch repair at two tertiary vascular surgery centers. Materials and Methods: Consecutive patients undergoing hybrid (HG) or total endovascular (TEG) total aortic arch repair for aneurysms or dissections were included (2008–2022). Primary outcome measure was 30-day mortality. Secondary outcomes were major complications, technical success (defined as absence of surgical conversion/mortality, high-flow endoleaks or branch/limb occlusion), clinical success (defined as absence of disabling clinical sequelae), late and aortic-related mortality/reinterventions, freedom from endoleaks, aortic diameter growth > 5 mm, graft migration and supra-aortic trunks (SAT) patency. Results: In total, 30 patients were included, 17 in HG and 13 in TEG. TEG presented shorter intervention time (240.5 vs 341 min, p = 0.01), median ICU stay (1 vs 4.5 days, p < 0.01) and median length of stay (8 vs 17.5 days, p < 0.01). No intraoperative deaths occurred. Technical success was 100%; clinical success was 70.6% in HG and 100% in TEG (p = 0.05). Thirty-day mortality was 13.3%, exclusively in HG (p = 0.11). Nine major complications occurred in 8 patients, 5 in HG and 3 in TEG (p = 0.99), among which five strokes, two in HG and three in TEG (p = 0.62). Late mortality was 38.5%, six patients in HG and four in TEG, p = 0.6. Two late aortic-related deaths occurred in HG (p = 0.9). Two aortic-related reinterventions, no graft migration or SAT occlusion was observed. Conclusions: Total endovascular repair seems to shorten operative times and provide higher clinical success compared with hybrid solutions, without significant 30-day mortality differences. The most common major complication is stroke. [ABSTRACT FROM AUTHOR] |
|
Copyright of CardioVascular & Interventional Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Find this article in full text from Springer Verlag. 
Full Text Finder