SwePub
Sök i LIBRIS databas

  Utökad sökning

WFRF:(Ferreira Gustavo C.)
 

Sökning: WFRF:(Ferreira Gustavo C.) > Comparison of singl...

  • Dias-Neto, MarinaUniv Texas Hlth Sci Ctr Houston, Houston, TX USA.,University of Texas Health Science Center at Houston (författare)

Comparison of single- and multistage strategies during fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms

  • Artikel/kapitelEngelska2023

Förlag, utgivningsår, omfång ...

  • MOSBY-ELSEVIER,2023
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-508428
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-508428URI
  • https://doi.org/10.1016/j.jvs.2023.01.188DOI
  • https://lup.lub.lu.se/record/f8c9b145-3010-4db2-a635-2abb42e00b96URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Objective: The aim of this study was to compare outcomes of single or multistage approach during fenestrated-branched endovascular aortic repair (FB-EVAR) of extensive thoracoabdominal aortic aneurysms (TAAAs).Methods: We reviewed the clinical data of consecutive patients treated by FB-EVAR for extent I to III TAAAs in 24 centers (2006-2021). All patients received a single brand manufactured patient-specific or off-the-shelf fenestrated-branched stent grafts. Staging strategies included proximal thoracic aortic repair, minimally invasive segmental artery coil embolization, temporary aneurysm sac perfusion and combinations of these techniques. Endpoints were analyzed for elective repair in patients who had a single-or multistage approach before and after propensity score adjustment for baseline differences, including the composite 30-day/in-hospital mortality and/or permanent paraplegia, major adverse event, patient survival, and freedom from aortic-related mortality.Results: A total of 1947 patients (65% male; mean age, 71 +/- 8 years) underwent FB-EVAR of 155 extent I (10%), 729 extent II (46%), and 713 extent III TAAAs (44%). A single-stage approach was used in 939 patients (48%) and a multistage approach in 1008 patients (52%). A multistage approach was more frequently used in patients undergoing elective compared with non-elective repair (55% vs 35%; P < .001). Staging strategies were proximal thoracic aortic repair in 743 patients (74%), temporary aneurysm sac perfusion in 128 (13%), minimally invasive segmental artery coil embolization in 10 (1%), and combinations in 127 (12%). Among patients undergoing elective repair (n = 1597), the composite endpoint of 30-day/in-hospital mortality and/or permanent paraplegia rate occurred in 14% of single-stage and 6% of multistage approach patients (P < .001). After adjustment with a propensity score, multistage approach was associated with lower rates of 30-day/in-hospital mortality and/or permanent paraplegia (odds ratio, 0.466; 95% confidence interval, 0.271-0.801; P = .006) and higher patient survival at 1 year (86.9 +/- 1.3% vs 79.6 +/- 1.7%) and 3 years (72.7 +/- 2.1% vs 64.2 +/- 2.3%; adjusted hazard ratio, 0.714; 95% confidence interval, 0.528-0.966; P = .029), compared with a single stage approach.Conclusions: Staging elective FB-EVAR of extent I to III TAAAs was associated with decreased risk of mortality and/or permanent paraplegia at 30 days or within hospital stay, and with higher patient survival at 1 and 3 years.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Tenorio, Emanuel R.Univ Texas Hlth Sci Ctr Houston, Houston, TX USA. (författare)
  • Huang, YingUniv Texas Hlth Sci Ctr Houston, Houston, TX USA. (författare)
  • Jakimowicz, TomaszMed Univ Warsaw, Warsaw, Poland. (författare)
  • Mendes, Bernardo C.Mayo Clin, Div Vasc & Endovasc Surg, Rochester, MN USA. (författare)
  • Koelbel, TiloUniv Med Ctr Eppendorf UKE, Hamburg, Germany. (författare)
  • Sobocinski, JonathanUniv Lille, Aort Ctr, Vasc Surg, CHU Lille, Lille, France.;Univ Lille, INSERM, CHU Lille, Lille, France. (författare)
  • Bertoglio, LucaUniv Vita Salute San Raffaele, San Raffaele Hosp, Milan, Italy. (författare)
  • Mees, BarendMaastricht Univ, Med Ctr, Maastricht, Netherlands. (författare)
  • Gargiulo, MauroUniv Bologna, Univ Hosp Policlin S Orsola, Dept Vasc Surg, Bologna, Italy. (författare)
  • Dias, NunoLund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups,Skåne University Hospital(Swepub:lu)ront-ndi (författare)
  • Schanzer, AndresUniv Massachusetts, Med Sch, Worcester, MA USA. (författare)
  • Gasper, WarrenUniv Calif San Francisco, San Francisco, CA USA. (författare)
  • Beck, Adam W.Univ Alabama Birmingham, Birmingham, AL USA. (författare)
  • Farber, Mark A.Univ N Carolina, Dept Surg, Div Vasc Surg, Chapel Hill, NC USA. (författare)
  • Mani, Kevin,1975-Uppsala universitet,Kärlkirurgi(Swepub:uu)kevma940 (författare)
  • Timaran, CarlosUniv Texas Southwestern, Clin Heart & Vasc Ctr, Dallas, TX USA. (författare)
  • Schneider, Darren B.Univ Penn, Perelman Sch Med, Div Vasc Surg & Endovasc Therapy, Philadelphia, PA USA. (författare)
  • Pedro, Luis MendesHosp Santa Maria CHULN, Dept Vasc Surg, Lisbon, Portugal.;Univ Lisbon, Fac Med, Lisbon, Portugal. (författare)
  • Tsilimparis, NikolaosLudwig Maximilians Univ Hosp, Dept Vasc Surg, Munich, Germany. (författare)
  • Haulon, StephanUniv Paris Saclay, Hop Marie Lannelongue, Grp Hosp Paris St Joseph, Aort Ctr, Paris, France. (författare)
  • Sweet, MattUniv Washington, Dept Surg, Div Vasc Surg, Seattle, WA USA. (författare)
  • Ferreira, EmiliaCtr Hosp Univ Lisboa Cent, Dept Angiol & Vasc Surg, Hosp Santa Marta, Lisbon, Portugal.;Univ Nova Lisboa, NOVA Med Sch, Lisbon, Portugal. (författare)
  • Eagleton, MatthewMassachusetts Gen Hosp, Div Vasc & Endovasc Surg, Boston, MA USA. (författare)
  • Yeung, Kak KheeVrije Univ Amsterdam Med Ctr, Amsterdam UMC, Amsterdam Cardiovasc Sci, Dept Vasc Surg, Amsterdam, Netherlands. (författare)
  • Khashram, ManarWaikato Hosp, Dept Vasc Surg, Hamilton, New Zealand.;Univ Auckland, Dept Surg, Auckland, New Zealand. (författare)
  • Vacirca, AndreaUniv Texas Hlth Sci Ctr Houston, Houston, TX USA. (författare)
  • Lima, Guilherme B.Univ Texas Hlth Sci Ctr Houston, Houston, TX USA. (författare)
  • Baghbani-Oskouei, AidinUniv Texas Hlth Sci Ctr Houston, Houston, TX USA. (författare)
  • Jama, KatarzynaMed Univ Warsaw, Warsaw, Poland. (författare)
  • Panuccio, GiuseppeUniv Med Ctr Eppendorf UKE, Hamburg, Germany. (författare)
  • Rohlffs, FionaUniv Med Ctr Eppendorf UKE, Hamburg, Germany. (författare)
  • Chiesa, RobertoUniv Vita Salute San Raffaele, San Raffaele Hosp, Milan, Italy. (författare)
  • Schurink, Geert WillemMaastricht Univ, Med Ctr, Maastricht, Netherlands. (författare)
  • Lemmens, CharlotteMaastricht Univ, Med Ctr, Maastricht, Netherlands. (författare)
  • Gallitto, EnricoUniv Bologna, Univ Hosp Policlin S Orsola, Dept Vasc Surg, Bologna, Italy. (författare)
  • Faggioli, GianlucaUniv Bologna, Univ Hosp Policlin S Orsola, Dept Vasc Surg, Bologna, Italy. (författare)
  • Karelis, AngelosLund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups,Skåne University Hospital(Swepub:lu)an7168ka (författare)
  • Parodi, EzequielUniv N Carolina, Dept Surg, Div Vasc Surg, Chapel Hill, NC USA. (författare)
  • Gomes, VivianUniv N Carolina, Dept Surg, Div Vasc Surg, Chapel Hill, NC USA. (författare)
  • Wanhainen, AndersUppsala universitet,Kärlkirurgi(Swepub:uu)anwan103 (författare)
  • Dean, AnastasiaUppsala universitet,Kärlkirurgi (författare)
  • Colon, Jesus PorrasUniv Texas Southwestern, Clin Heart & Vasc Ctr, Dallas, TX USA. (författare)
  • Pavarino, FelipeUniv Texas Southwestern, Clin Heart & Vasc Ctr, Dallas, TX USA. (författare)
  • Melo, Ryan Gouveia eHosp Santa Maria CHULN, Dept Vasc Surg, Lisbon, Portugal.;Univ Lisbon, Fac Med, Lisbon, Portugal.;Ludwig Maximilians Univ Hosp, Dept Vasc Surg, Munich, Germany. (författare)
  • Crawford, SeanUniv Paris Saclay, Hop Marie Lannelongue, Grp Hosp Paris St Joseph, Aort Ctr, Paris, France. (författare)
  • Garcia, RitaCtr Hosp Univ Lisboa Cent, Dept Angiol & Vasc Surg, Hosp Santa Marta, Lisbon, Portugal.;Univ Nova Lisboa, NOVA Med Sch, Lisbon, Portugal. (författare)
  • Ribeiro, TiagoCtr Hosp Univ Lisboa Cent, Dept Angiol & Vasc Surg, Hosp Santa Marta, Lisbon, Portugal.;Univ Nova Lisboa, NOVA Med Sch, Lisbon, Portugal. (författare)
  • Kappe, Kaj OlavVrije Univ Amsterdam Med Ctr, Amsterdam UMC, Amsterdam Cardiovasc Sci, Dept Vasc Surg, Amsterdam, Netherlands. (författare)
  • van Knippenberg, Samira Elize MarikoVrije Univ Amsterdam Med Ctr, Amsterdam UMC, Amsterdam Cardiovasc Sci, Dept Vasc Surg, Amsterdam, Netherlands. (författare)
  • Tran, Bich LanVrije Univ Amsterdam Med Ctr, Amsterdam UMC, Amsterdam Cardiovasc Sci, Dept Vasc Surg, Amsterdam, Netherlands. (författare)
  • Gormley, SineadWaikato Hosp, Dept Vasc Surg, Hamilton, New Zealand.;Univ Auckland, Dept Surg, Auckland, New Zealand. (författare)
  • Oderich, Gustavo S.Univ Texas Hlth Sci Ctr Houston, Houston, TX USA.,University of Texas Health Science Center at Houston (författare)
  • Univ Texas Hlth Sci Ctr Houston, Houston, TX USA.University of Texas Health Science Center at Houston (creator_code:org_t)
  • International Aortic Research Consortium

Sammanhörande titlar

  • Ingår i:Journal of Vascular Surgery: MOSBY-ELSEVIER77:6, s. 1588-15970741-52141097-6809

Internetlänk

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy