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Tabular review of contemporary fenestrated-branched endovascular aortic repair experiences for treatment of thoracoabdominal aortic aneurysms.
- Source :
-
The Journal of cardiovascular surgery [J Cardiovasc Surg (Torino)] 2024 Oct 03. Date of Electronic Publication: 2024 Oct 03. - Publication Year :
- 2024
- Publisher :
- Ahead of Print
-
Abstract
- Introduction: Repair of thoracoabdominal aortic aneurysms (TAAAs) represents a technical challenge regardless of which technique is used. Open surgical repair (OSR) is the time-tested option against which novel techniques must be compared and it is still considered the gold standard option for younger, fit patients with heritable aortic diseases. Endovascular repair offers a less-invasive alternative in patients with suitable anatomy. This article aims to present a tabular review of the contemporary published data on endovascular repair of TAAAs using fenestrated-branched techniques.<br />Evidence Acquisition: The published literature for single-center and multicenter studies evaluating the outcomes of FB-EVAR for TAAAs was searched using MEDLINE and Embase databases. Studies published between January 1 <superscript>st</superscript> 2010 and July 11 <superscript>th</superscript> 2024, in the English language which provided data on FB-EVAR of TAAAs with more than fifty reported cases were included.<br />Evidence Synthesis: The average patient age at time of repair was 71 years old with majority of males (65.5%). Most patients presented with a Crawford Extent II TAAAs (21.6%), followed by Extent III (21.2%). Early mortality was 4.9% for the entire cohort. The most prevalent adverse event was acute kidney injury (9.4%), followed by spinal cord injury (8.0%).<br />Conclusions: FB-EVAR of TAAAs continues to evolve. Pooled analysis of early mortality and morbidity is lower in this tabular review than historical outcomes of open TAAA repair.
Details
- Language :
- English
- ISSN :
- 1827-191X
- Database :
- MEDLINE
- Journal :
- The Journal of cardiovascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 39360908
- Full Text :
- https://doi.org/10.23736/S0021-9509.24.13168-0