Long-Term Follow-Up After Thoracoabdominal Aortic Aneurysm Repair

Schepens, Marc A.A.M.; Kelder, Johannes C.; Morshuis, Wim J.; Heijmen, Robin H.; Dongen, Eric P. van; Beek, Huub T.M. ter

doi:10.1016/j.athoracsur.2006.10.087

Cited by 76 publications

(43 citation statements)

References 12 publications

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“…In our series, the formation of patch aneurysms was 5%. This late complication after thoracoabdominal aortic replacement by the island patch technique described by Crawford is well known and has been reported by several authors with incidences ranging from 0.2% 18,19 to >4% 20 to 7.5%. 21 There are certainly some limitations of this study.…”

Section: Discussionmentioning

confidence: 92%

Patency of renal and visceral vessels after open thoracoabdominal aortic replacement

Youssef

Neufang

Jungmann

et al. 2015

Journal of Vascular Surgery

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Section: Discussionmentioning

confidence: 92%

Patency of renal and visceral vessels after open thoracoabdominal aortic replacement

Youssef

Neufang

Jungmann

et al. 2015

Journal of Vascular Surgery

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“…35,36 A review of the most recent referral center reports of surgically treated patients (Table 3), incorporating in clinical practice the beneficial effects of several adjunctives and protective measures, demonstrates improved results compared with previously reported studies. [1][2][3][4][5][6] The 30-day mortality rate ranges from 5.0% to 19.0%, the rate of SCI ranges from 2.7% to 13.2%, and renal failure requiring dialysis approaches a rate of 4.6 -5.6%. In a recent publication of 2 286 patients, Coselli et al 2 documented a 5.0% 30-day mortality rate with a 3.8% occurrence of SCI and a 5.6% rate of renal failure requiring dialysis.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Open Endovascular Technique for Aortic Thoracoabdominal Pathologies

et al. 2011

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Background-Many authors using a hybrid debranching strategy for the treatment of thoracoabdominal pathologies have reported disappointing results and the initial enthusiasm for the technique has given way to criticism and ambiguity. The aim of the present meta-analysis study was to assess the safety and efficacy of the technique in patients with thoracoabdominal aortic aneurysms or other aortic pathologies. Methods and Results-A multiple electronic search was performed on all articles describing hybrid open endovascular repair. Separate meta-analyses were conducted for technical success, visceral graft patency, spinal cord ischemia symptoms, renal insufficiency, and other complications as well as 30-day/in-hospital mortality. Nineteen publications with a total of 507 patients were analyzed. The pooled estimates for primary technical success and visceral graft patency were 96.2% (95% CI, 93.5%-98.2%) and 96.5% (95% CI, 95.2%-97.8%) respectively. A pooled rate of 7.5% (95% CI, 5.0%-11.0%) for overall spinal cord ischemia symptoms was observed; whereas for irreversible paraplegia the pooled rate was 4.5% (95% CI, 2.5%-7.0%). The pooled estimate for renal failure was 8.8% (95% CI, 3.9%-15.5%). The pooled 30-day/in-hospital mortality rate was 12.8% (95% CI, 8.6%-17.0%). During the mean follow-up period of 34.5 (95% CI, 31.5-37.5) months, a total of 119 endoleaks were identified in 111 patients (22.7%). Conclusions-The repair of thoracoabdominal pathologies by means of hybrid procedures in patients who are poor surgical candidates is still associated with significant morbidity and mortality rates. Future studies may substantiate whether the technique is amenable to amelioration and improvement. (Circulation. 2011;124:2670-2680.)

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“…[9]. Whatever the definition, postoperative renal dysfunction has been unequivocally linked to poor longterm survival [5,6,10]. Therefore, meaningful reduction of the occurrence of this problem is of great clinical importance.…”

Section: Introductionmentioning

confidence: 98%