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Thoracic endovascul...
Thoracic endovascular aortic repair practice in 13 countries : A report from VASCUNET and the International Consortium of Vascular Registries
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- Hellgren, Tina (author)
- Uppsala universitet,Kärlkirurgi
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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, Kevin (author)
- Uppsala universitet,Kärlkirurgi
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(creator_code:org_t)
- Lippincott Williams & Wilkins, 2022
- 2022
- English.
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In: Annals of Surgery. - : Lippincott Williams & Wilkins. - 0003-4932 .- 1528-1140. ; 276:5, s. e598-e604
- 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 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
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- art (subject category)
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- By the author/editor
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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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show more...
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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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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 Surgery
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Annals of Surger ...
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Uppsala University