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Early outcomes asso...
Early outcomes associated with use of the Zenith TX2 Dissection Endovascular Graft for the treatment of Stanford type B aortic dissection
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- Patel, Jayna J. (author)
- Guys & St Thomas NHS Fdn Trust, Acad Dept Vasc Surg, Sch Cardiovasc Med & Sci, BHF Ctr Excellence & Biomed Res Ctr, London, England.;Kings Coll London, London, England.
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- Kasprzak, Piotr (author)
- Univ Hosp Regensburg, Dept Vasc Surg, Regensburg, Germany.
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- Pfister, Karin (author)
- Univ Hosp Regensburg, Dept Vasc Surg, Regensburg, Germany.
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- Tsilimparis, Nikolaos (author)
- Univ Heart & Vasc Ctr Hamburg, German Aort Ctr Hamburg, Vasc Med, Hamburg, Germany.
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- Koelbel, Tilo (author)
- Univ Heart & Vasc Ctr Hamburg, German Aort Ctr Hamburg, Vasc Med, Hamburg, Germany.
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- Wahlgren, Carl (author)
- Karolinska Institutet
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- Hammo, Sari (author)
- Karolinska Univ Hosp, Dept Vasc Surg, Stockholm, Sweden.;Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.
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- Mani, Kevin, 1975- (author)
- Uppsala universitet,Kärlkirurgi
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- Wanhainen, Anders (author)
- Uppsala universitet,Kärlkirurgi
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- Rossi, Giovanni (author)
- A Manzoni Hosp, Dept Cardiovasc Dis, Div Vasc Surg, Lecce, Italy.
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- Leo, Enrico (author)
- A Manzoni Hosp, Dept Cardiovasc Dis, Div Vasc Surg, Lecce, Italy.
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- Boing, Ingeborg (author)
- Aarhus Univ Hosp, Dept Surg, Aarhus, Denmark.
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- Schelzig, Hubert (author)
- Univ Hosp Dusseldorf, Dept Vasc & Endovasc Surg, Dusseldorf, Germany.
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- Oberhuber, Alexander (author)
- Univ Hosp Munster, Dept Vasc & Endovasc Surg, Munster, Germany.
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- Aasgaard, Frode (author)
- St Olavs Hosp, Dept Vasc Surg, Trondheim, Norway.
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- Vecchiati, Enrico (author)
- Hosp Santa Maria Reggio Emilia, Dept Vasc Surg, Reggio Emilia, Italy.
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- Fontana, Antonio (author)
- Hosp Santa Maria Reggio Emilia, Dept Vasc Surg, Reggio Emilia, Italy.
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- Modarai, Bijan (author)
- Guys & St Thomas NHS Fdn Trust, Acad Dept Vasc Surg, Sch Cardiovasc Med & Sci, BHF Ctr Excellence & Biomed Res Ctr, London, England.;Kings Coll London, London, England.
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Guys & St Thomas NHS Fdn Trust, Acad Dept Vasc Surg, Sch Cardiovasc Med & Sci, BHF Ctr Excellence & Biomed Res Ctr, London, England;Kings Coll London, London, England. Univ Hosp Regensburg, Dept Vasc Surg, Regensburg, Germany. (creator_code:org_t)
- Elsevier, 2021
- 2021
- English.
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In: Journal of Vascular Surgery. - : Elsevier. - 0741-5214 .- 1097-6809. ; 74:2, s. 547-555
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Objective: To evaluate short term outcomes related to the use of the Zenith TX2 Dissection Endovascular Graft (ZDEG) and the Zenith Dissection Bare stent (ZDES) for the treatment of Stanford type B aortic dissections. Methods: This retrospective multicenter case cohort study collated data from 10 European institutions for patients with both complicated and uncomplicated type B aortic dissection treated with ZDEG and ZDES between 2011 and 2018. The primary end point was mortality at 30 and 90 days. Secondary end points included complications related to TEVAR, such as, type Ia endoleak, stroke, paraparesis, paraplegia, and retrograde type A dissection (RTAD). Statistical analysis was carried out using the t test, or one-way analysis of variance and the chi(2) or Fisher exact tests. Results: We treated 120 patients (87 male; mean age, 62.7 +/- 12.2years) either in the acute 76 (63.3%), subacute 16 (13.3%), or chronic 28 (23.3%) phase. Seven patients (5.8%) died within 30 days after the index procedure and two (1.7%) between 30 and 90 days. There was one instance of postoperative RTAD in a patient treated for rupture. Stroke and paraplegia occurred in three (2.5%) and five (4.2%), patients, respectively. Eight patients (6.7%) had a type Ia endoleak in the perioperative period. There were no instances of paraplegia, no permanent dialysis, and no requirement for adjunctive superior mesenteric or celiac artery stenting in the 33 patients (27.5%) who were treated by concurrent placement of ZDES distal to the ZDEG. The length and distal oversizing of ZDEG components used was less in this group. Conclusions: The present series demonstrates a low (<1%) RTAD rate and favorable morbidity and mortality. The lower rate of paraplegia, dialysis, and visceral artery stenting in the cohort that had adjunctive use of ZDES is compelling and merits further assessment.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Aorta
- Type B dissection
- Aortic dissection
- Endovascular
- Stent graft
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Patel, Jayna J.
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Kasprzak, Piotr
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Pfister, Karin
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Tsilimparis, Nik ...
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Koelbel, Tilo
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Wahlgren, Carl
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show more...
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Hammo, Sari
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Mani, Kevin, 197 ...
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Wanhainen, Ander ...
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Rossi, Giovanni
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Leo, Enrico
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Boing, Ingeborg
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Schelzig, Hubert
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Oberhuber, Alexa ...
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Aasgaard, Frode
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Vecchiati, Enric ...
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Fontana, Antonio
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Modarai, Bijan
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
- Articles in the publication
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Journal of Vascu ...
- By the university
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Uppsala University
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Karolinska Institutet