Ítem
Acceso Abierto
Reoperation-free survival in patients subjected to endovascular treatment of diseases of the aorta
Título de la revista
Autores
J., Felipe Casas
M., Jaime Camacho
Pineda, Ivonne
Sandoval, Néstor F.
M., Juan P. Umaña
Guerrero, Albert Franz
Obando, Carlos
Cabrales, Jaime Ramón
Echeverry, Darío
Archivos
Fecha
2019
Directores
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Editor
Elsevier B.V.
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Resumen
Abstract
Introduction: The endovascular management for diseases of the aorta has increased as an option for patients of high risk for conventional open surgery. The short-term mortality, disease-free and reoperation results, show favourable outcomes compared to open surgery, but there are no results available in this country for the medium (1-12 months) and long-term (>1 year). Methods: A bi-directional cohort study, in which the retrospective segment was conducted on patients subjected to endovascular management with an aortic replacement, and the prospective segment on the follow-up of the patients. Results: A total of 194 patients, subjected to endovascular treatment and met the inclusion criteria, were identified between April 2002 and December 2015. The follow-up was completed in 82.2% of cases. There were 92 (56.8%) cases of abdominal aorta with a mean follow-up of 4.9 years (95% range; 2.5-8.9). The calculated survival was 92% at one year, 86% at 2 years, and 66.4% at 5 years. The period free of disease was 88.7% at one year, 86.4% at 2 years, and 78.5% at 10 years, with 13 patients requiring re-operation. There were 67 cases of thoracic aorta, with a mean follow-up of 5.3 years (95% range; 2.9-10.2). The calculated survival was 94% at one year, 90.7% at 2 years, and 75.2% at 5 years. The period free of disease was 88.7% at one year, 86.4% at 2 years, and 78.5% at 10 years, and 9 patients required re-operation. Conclusions: The results obtained are favourable and are encouraging to continue offering the endovascular approach since the re-operation survival is similar to that reported in the literature. © 2018 Sociedad Colombiana de Cardiología y Cirugía Cardiovascular
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Keywords
Abdominal aorta , Aortic disease , Aortic reconstruction , Article , Cohort analysis , Follow up , Human , Major clinical study , Reoperation , Retrospective study , Survival , Thoracic aorta , Treatment free survival , Abdominal aorta , Aortic aneurysm , Aortic diseases , Endovascular procedures , Thoracic aorta
