Outcomes of endovascular repair of chronic postdissection compared with degenerative thoracoabdominal aortic aneurysms using fenestrated-branched stent grafts

Tenorio, Emanuel R.; Oderich, Gustavo S.; Farber, Mark A.; Schneider, Darren B.; Timaran, Carlos H.; Schanzer, Andres; Beck, Adam W.; Motta, Fernando; Sweet, Matthew P.; Fenestrated, U.S. Multicenter

doi:10.1016/j.jvs.2019.10.091

Cited by 72 publications

(41 citation statements)

References 35 publications

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“…33 In contemporary series of endovascular TAAA repair, early mortality ranges from 3% to 8% (for extents I-III TAAA repairs), paraplegia ranges from 2% to 5%, stroke ranges from 1% to 3%, and renal failure necessitating dialysis ranges from 1% to 3%. [34][35][36][37] Additionally, rates of myocardial infarction and gastrointestinal ischemia were found to range from <1% to 5% and from 1% to 3%, respectively. [34][35][36]…”

Section: Evolution Of Endovascular Techniquementioning

confidence: 95%

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Open vs. endovascular thoracoabdominal aortic aneurysm repair: tale of the tape

Çekmeceli̇oğlu

Orozco-Sevilla

Coselli³

2020

Asian Cardiovasc Thorac Ann

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Open surgical repair persists as the gold-standard operation for thoracoabdominal aortic aneurysm; however, endovascular repair has become commonplace. Technical considerations in thoracoabdominal aortic aneurysm treatment are particularly complex, insofar as it involves critical branching arteries feeding the visceral organs. Newer, low-profile devices make total endovascular thoracoabdominal aortic aneurysm repair more feasible and, thus, appealing. For younger and low-risk patients, the choice between open and endovascular therapy remains controversial. Despite the advantages of a minimally invasive procedure, data suggest that endovascular aortic repair incurs a greater risk of spinal cord deficit, and the durability of endovascular aortic repair remains unclear. It is difficult to compare outcomes between endovascular and open thoracoabdominal aortic aneurysm repair, primarily because of the current investigational status of endovascular devices, the variety of approaches to endovascular repair, differing patient populations, lack of prospective randomized studies, and minimal medium- and long-tern follow-up data on endovascular repair. When deciding between open and endovascular approaches, one should consider which is more suitable for each patient. Older patients generally benefit from a less invasive approach. Open repair should be considered for young patients and those with heritable thoracic aortic disease. Infection and fistulae are best treated by open repair, although endovascular intervention as a lifesaving bridge to definitive repair has evolved to become a critical component of initial treatment. It is crucial to have technical expertise in both open and endovascular procedures to provide the best aortic repair for the patient. This may require dedicated aortic programs at tertiary institutions.

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Section: Evolution Of Endovascular Techniquementioning

confidence: 95%

“…[34][35][36][37] Additionally, rates of myocardial infarction and gastrointestinal ischemia were found to range from <1% to 5% and from 1% to 3%, respectively. [34][35][36]…”

Section: Evolution Of Endovascular Techniquementioning

confidence: 95%

Open vs. endovascular thoracoabdominal aortic aneurysm repair: tale of the tape

Çekmeceli̇oğlu

Orozco-Sevilla

Coselli³

2020

Asian Cardiovasc Thorac Ann

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“…Short and mid-term outcomes in the study of Ding et al comprising 159 pts demonstrated that the chimney technique is safe and feasible for preservation of the left subclavian artery (LSA) in pts with TBAD, but the durability of chimney stent needs to be evaluated carefully and immediate type Ia endoleak is a concern [267]. Tenorio et al analysed the outcomes of F/BEVAR for treatment of postdissection and degenerative TAAAs and found nearly identical outcomes [268].…”

Section: Large Trials Meta-analyses Databases and Registries On Outcomesmentioning

confidence: 99%

Aneurysms and dissections - What is new in the literature of 2019/2020 - a European Society of Vascular Medicine annual review

Nikol

Mathias²,

Olinic

et al. 2020

Vasa

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“…The ARC reports prospective, multicenter, monitored, nonrandomized results collected from physiciansponsored investigational device exemption studies. [1][2][3] To evaluate FBEVAR outcomes, graft designs, bridging stents and then compare them with the results from open surgery and the ARC outcomes, Oderich et al 4 have proposed new reporting standards for complex aneurysms. These reporting standards are in addition to those previously published for reporting EVAR and thoracic EVAR and should be integral to any FBEVAR trial design, including the currently compulsory postmarket studies.…”

mentioning

confidence: 99%

Critical points from the reporting standards for endovascular aortic repair of aneurysms involving the renal-mesenteric arteries

Haulon

Tyrrell

Fabre

2021

Journal of Vascular Surgery

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The U.S. Multicenter Fenestrated/Branched Aortic Research Consortium (ARC) has reported data of unmatched quality concerning complex aortic aneurysm repair with fenestrated and branched endografts (fenestrated/branched-endovascular aortic repair [FBEVAR]). The ARC reports prospective, multicenter, monitored, nonrandomized results collected from physiciansponsored investigational device exemption studies. [1][2][3] To evaluate FBEVAR outcomes, graft designs, bridging stents and then compare them with the results from open surgery and the ARC outcomes, Oderich et al 4 have proposed new reporting standards for complex aneurysms. These reporting standards are in addition to those previously published for reporting EVAR and thoracic EVAR and should be integral to any FBEVAR trial design, including the currently compulsory postmarket studies. We have highlighted and discussed the critical points included in their proposals. 4

show abstract

Outcomes of endovascular repair of chronic postdissection compared with degenerative thoracoabdominal aortic aneurysms using fenestrated-branched stent grafts

Cited by 72 publications

References 35 publications

Open vs. endovascular thoracoabdominal aortic aneurysm repair: tale of the tape

Open vs. endovascular thoracoabdominal aortic aneurysm repair: tale of the tape

Aneurysms and dissections - What is new in the literature of 2019/2020 - a European Society of Vascular Medicine annual review

Critical points from the reporting standards for endovascular aortic repair of aneurysms involving the renal-mesenteric arteries

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