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Thoracic endovascul...
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Hellgren, TinaUppsala universitet,Kärlkirurgi
(author)
Thoracic endovascular aortic repair practice in 13 countries : A report from VASCUNET and the International Consortium of Vascular Registries
- Article/chapterEnglish2022
Publisher, publication year, extent ...
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Lippincott Williams & Wilkins,2022
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-427084
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-427084URI
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https://doi.org/10.1097/SLA.0000000000004561DOI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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OBJECTIVE: To assess practice patterns and short-term outcome after TEVAR, based on an international vascular registry collaboration.SUMMARY BACKGROUND DATA: Thoracic endovascular aortic repair (TEVAR) has become the primary surgical treatment modality for descending aortic pathologies, and has expanded to new patient cohorts, including the elderly.METHODS: Data on thoracic aortic aneurysms (TAA), type B aortic dissections (TBAD), and traumatic aortic injuries (TAI) treated with TEVAR from 2012 to 2016 were retrieved from registries and centers in 13 countries.RESULTS: 9518 TEVAR for TAA (n = 4436), TBAD (n = 3976) and TAI (n = 1106) were included. The distribution of TEVAR procedures per pathology varied, with TAA repair constituting from 40% of TEVARs in the US to 72% in the UK (p < 0.001).Mean intact TAA (iTAA) diameter varied from 59 (US) to 69 mm (Nancy, France) (p < 0.001), 25.3% of patients having a diameter of < 60 mm. Perioperative mortality after iTAA repair was 4.9%; combined mortality, stroke, paraplegia and RRT outcome was 12.8%. 18.6% of iTAA patients were ≥80 years old. Mortality was higher in this group (7.2%) than in patients < 80 (3.8%) (p < 0.001). After rTAA repair, perioperative mortality was 26.8%.Mortality was 9.7% after acute (within 14 days from onset of dissection) and 3.0% after chronic TBAD repair (p < 0.001). Mortality after TAI was 7.8%, and depended on injury severity (grade IV (free rupture) 20.9%).CONCLUSIONS:: This registry collaboration provides a unique platform to evaluate cross-border patterns of use and outcomes of TEVAR. A common core dataset is proposed, to achieve harmonization of registry-based quality outcome measures for TEVAR.
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Beck, Adam W
(author)
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Behrendt, Christian-Alexander
(author)
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Becker, Daniel
(author)
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Beiles, Barry
(author)
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Boyle, Jonathan R
(author)
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Jormalainen, Mikko
(author)
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Koncar, Igor
(author)
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Espada, Cristina Lopez
(author)
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Setacci, Carlo
(author)
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Settembre, Nicla
(author)
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Sutzko, Danielle C
(author)
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Szeberin, Zoltan
(author)
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Thomson, Ian
(author)
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Venermo, Maarit
(author)
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Mani, KevinUppsala universitet,Kärlkirurgi(Swepub:uu)kevma940
(author)
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Uppsala universitetKärlkirurgi
(creator_code:org_t)
Related titles
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In:Annals of Surgery: Lippincott Williams & Wilkins276:5, s. e598-e6040003-49321528-1140
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Hellgren, Tina
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Beck, Adam W
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Behrendt, Christ ...
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Becker, Daniel
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Beiles, Barry
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Boyle, Jonathan ...
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Jormalainen, Mik ...
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Koncar, Igor
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Espada, Cristina ...
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Setacci, Carlo
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Settembre, Nicla
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Sutzko, Danielle ...
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Szeberin, Zoltan
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Thomson, Ian
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Venermo, Maarit
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Mani, Kevin
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- MEDICAL AND HEALTH SCIENCES
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and Clinical Medicin ...
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and Surgery
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Uppsala University