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Early and mid-term outcomes of endovascular and open surgical repair of non-dissected aortic arch aneurysm

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dc.creatorHori, Daijirospa
dc.creatorOkamura, Homarespa
dc.creatorYamamoto, Takahirospa
dc.creatorNishi, Satoshispa
dc.creatorYuri, Koichispa
dc.creatorKimura, Naoyukispa
dc.creatorYamaguchi, Atsushispa
dc.creatorAdachi, Hideospa
dc.date.accessioned2020-08-19T14:42:41Z
dc.date.available2020-08-19T14:42:41Z
dc.date.created2017-02-22spa
dc.description.abstractOBJECTIVES: With the introduction of endovascular stent graft technology, a variety of surgical options are available for patients with aortic aneurysms. We sought to evaluate early-term and mid-term outcomes of patients undergoing endovascular and open surgical repair for non-dissected aortic arch aneurysm. METHODS: Overall, 200 patients underwent treatment for isolated non-dissected aortic arch aneurysm between January 2008 and February 2016: 133 patients had open surgery and 67, endovascular repair. Early-term and mid-term outcomes were compared. RESULTS: Seventy percent (n?=?47) needing endovascular repair underwent fenestrated stent graft and 30% (n?=?20) underwent the debranched technique. Patients in the open surgery group were younger (71 vs 75 years, P?<?0.001) and had a lower prevalence of ischaemic heart disease (11% vs 35%, P?<?0.001). Intensive care unit stay (1 vs 3 days, P?<?0.001), hospital stay (11 vs 17 days, P?<?0.001) and surgical time (208 vs 390?min, P?<?0.001) were lower in the endovascular repair group than in the open surgery group. There were 3 in-hospital deaths each in the open surgery and endovascular groups (2% vs 5%, respectively, P?=?0.40). Mid-term survival (P?<?0.001) and freedom from reintervention (P?=?0.009) were better in the open surgery than in the endovascular repair group. No aneurysm-related deaths were observed. The propensity-matched comparison (n?=?58) demonstrated that survival was better in the open surgery group (P?=?0.011); no significant difference was seen in the reintervention rate (P?=?0.28). CONCLUSIONS: Close follow-up for re-intervention may reduce the risk for aneurysm-related deaths and provide acceptable outcomes in patients undergoing endovascular repair.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1093/icvts/ivx031
dc.identifier.issnISSN: 1569-9293
dc.identifier.issnEISSN: 1569-9285
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/27551
dc.language.isoengspa
dc.publisherEuropean Association for Cardio-Thoracic Surgeryspa
dc.publisherOxford University Pressspa
dc.relation.citationEndPage950
dc.relation.citationIssueNo. 6
dc.relation.citationStartPage944
dc.relation.citationTitleInteractive Cardiovascular and Thoracic Surgery
dc.relation.citationVolumeVol. 24
dc.relation.ispartofInteractive Cardiovascular and Thoracic Surgery, ISSN: 1569-9293;EISSN: 1569-9285, Vol.24, No.6 (June 2017); pp. 944–950spa
dc.relation.urihttps://academic.oup.com/icvts/article/24/6/944/3044184spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.sourceInteractive Cardiovascular and Thoracic Surgeryspa
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subject.keywordAortic arch aneurysmspa
dc.subject.keywordFenestrated stent graftspa
dc.subject.keywordTEVARspa
dc.subject.keywordOpen surgeryspa
dc.titleEarly and mid-term outcomes of endovascular and open surgical repair of non-dissected aortic arch aneurysmspa
dc.title.TranslatedTitleResultados tempranos y a medio plazo de la reparación quirúrgica endovascular y abierta del aneurisma del arco aórtico no disecadospa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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