Tabular review of contemporary fenestrated-branched endovascular aortic repair experiences for treatment of thoracoabdominal aortic aneurysms.


Journal

The Journal of cardiovascular surgery
ISSN: 1827-191X
Titre abrégé: J Cardiovasc Surg (Torino)
Pays: Italy
ID NLM: 0066127

Informations de publication

Date de publication:
03 Oct 2024
Historique:
medline: 3 10 2024
pubmed: 3 10 2024
entrez: 3 10 2024
Statut: aheadofprint

Résumé

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. 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 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%). 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.

Identifiants

pubmed: 39360908
pii: S0021-9509.24.13168-0
doi: 10.23736/S0021-9509.24.13168-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Auteurs

Fernanda Jobim (F)

Medical School, Vale do Rio dos Sinos University (UNISINOS), São Leopoldo, Rio Grande do Sul, Brazil.

Lucas Ruiter Kanamori (L)

Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.

Martina Cambiaghi (M)

Division of Vascular Surgery, Department of Clinical and Experimental Sciences (DSCS), University and ASST Spedali Civili Hospital of Brescia, Brescia, Italy.

Thomas Mesnard (T)

Vascular Surgery, Aortic Center, Lille University Hospital, Lille, France.

Titia A Sulzer (TA)

Vascular Surgery Department, Erasmus University Medical Center, Rotterdam, the Netherlands.

Safa Savadi (S)

Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.

Dora Babocs (D)

Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.

Bruno Pagnin Schmid (B)

Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.

Steven Maximus (S)

Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.

Ying Huang (Y)

Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.

Fabio Verzini (F)

Vascular Surgery Unit, Department of Surgical Sciences, Turin University, AOU Città della Salute e della Scienza, Turin, Italy.

Gustavo S Oderich (GS)

Department of Cardiothoracic and Vascular Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA - gustavo.oderich@uth.tmc.edu.

Classifications MeSH