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

Dias-Neto, M. ; Dias, N. LU orcid ; Karelis, A. LU orcid and Oderich, G.S. (2023) p.568-577
Abstract
Objective: To describe outcomes after elective and non-elective fenestrated-branched endovascular aortic repair (FB-EVAR) for thoracoabdominal aortic aneurysms (TAAAs). Background: FB-EVAR has been increasingly utilized to treat TAAAs; however, outcomes after non-elective versus elective repair are not well described. Methods: 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. Results: A total of 2603 patients (69% males; mean age 72±10 year old) underwent FB-EVAR for TAAAs.... (More)
Objective: To describe outcomes after elective and non-elective fenestrated-branched endovascular aortic repair (FB-EVAR) for thoracoabdominal aortic aneurysms (TAAAs). Background: FB-EVAR has been increasingly utilized to treat TAAAs; however, outcomes after non-elective versus elective repair are not well described. Methods: 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. Results: 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 (Less)
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organization
publishing date
type
Contribution to conference
publication status
published
subject
keywords
elective repair, fenestrated-branched endovascular aortic repair, non-elective repair, thoracoabdominal aortic aneurysm, Aged, Aged, 80 and over, Aortic Aneurysm, Abdominal, Aortic Aneurysm, Thoracic, Aortic Aneurysm, Thoracoabdominal, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation, Endovascular Aneurysm Repair, Endovascular Procedures, Female, Humans, Male, Middle Aged, Retrospective Studies, Risk Factors, Time Factors, Treatment Outcome, aged, all cause mortality, aortic related mortality, Conference Paper, confidence interval, cumulative incidence, elective surgery, female, fenestrated endovascular aneurysm repair, follow up, hazard ratio, human, intermethod comparison, major clinical study, male, mortality, multivariate analysis, retrospective study, thoracoabdominal aorta aneurysm, abdominal aortic aneurysm, blood vessel transplantation, endovascular aneurysm repair, endovascular surgery, middle aged, risk factor, thoracic aorta aneurysm, time factor, treatment outcome, very elderly
pages
10 pages
external identifiers
  • scopus:85170294630
  • pmid:37395613
DOI
10.1097/SLA.0000000000005986
language
English
LU publication?
yes
id
d7f835c9-f6c7-4638-a75e-ca3c1edb40a6
date added to LUP
2023-12-19 16:58:49
date last changed
2024-03-20 03:00:15
@misc{d7f835c9-f6c7-4638-a75e-ca3c1edb40a6,
  abstract     = {{Objective: To describe outcomes after elective and non-elective fenestrated-branched endovascular aortic repair (FB-EVAR) for thoracoabdominal aortic aneurysms (TAAAs). Background: FB-EVAR has been increasingly utilized to treat TAAAs; however, outcomes after non-elective versus elective repair are not well described. Methods: 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. Results: 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}},
  author       = {{Dias-Neto, M. and Dias, N. and Karelis, A. and Oderich, G.S.}},
  keywords     = {{elective repair; fenestrated-branched endovascular aortic repair; non-elective repair; thoracoabdominal aortic aneurysm; Aged; Aged, 80 and over; Aortic Aneurysm, Abdominal; Aortic Aneurysm, Thoracic; Aortic Aneurysm, Thoracoabdominal; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation; Endovascular Aneurysm Repair; Endovascular Procedures; Female; Humans; Male; Middle Aged; Retrospective Studies; Risk Factors; Time Factors; Treatment Outcome; aged; all cause mortality; aortic related mortality; Conference Paper; confidence interval; cumulative incidence; elective surgery; female; fenestrated endovascular aneurysm repair; follow up; hazard ratio; human; intermethod comparison; major clinical study; male; mortality; multivariate analysis; retrospective study; thoracoabdominal aorta aneurysm; abdominal aortic aneurysm; blood vessel transplantation; endovascular aneurysm repair; endovascular surgery; middle aged; risk factor; thoracic aorta aneurysm; time factor; treatment outcome; very elderly}},
  language     = {{eng}},
  pages        = {{568--577}},
  title        = {{Outcomes of Elective and Non-elective Fenestrated-branched Endovascular Aortic Repair for Treatment of Thoracoabdominal Aortic Aneurysms}},
  url          = {{http://dx.doi.org/10.1097/SLA.0000000000005986}},
  doi          = {{10.1097/SLA.0000000000005986}},
  year         = {{2023}},
}