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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 ...

  • Lippincott Williams & Wilkins,2022
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-427084
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-427084URI
  • https://doi.org/10.1097/SLA.0000000000004561DOI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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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Added entries (persons, corporate bodies, meetings, titles ...)

  • Beck, Adam W (author)
  • Behrendt, Christian-Alexander (author)
  • Becker, Daniel (author)
  • Beiles, Barry (author)
  • Boyle, Jonathan R (author)
  • Jormalainen, Mikko (author)
  • Koncar, Igor (author)
  • Espada, Cristina Lopez (author)
  • Setacci, Carlo (author)
  • Settembre, Nicla (author)
  • Sutzko, Danielle C (author)
  • Szeberin, Zoltan (author)
  • Thomson, Ian (author)
  • Venermo, Maarit (author)
  • Mani, KevinUppsala universitet,Kärlkirurgi(Swepub:uu)kevma940 (author)
  • Uppsala universitetKärlkirurgi (creator_code:org_t)

Related titles

  • In:Annals of Surgery: Lippincott Williams & Wilkins276:5, s. e598-e6040003-49321528-1140

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