Document Detail


Thoracic endovascular aortic repair - a Brazilian experience in 255 patients over a period of 112 months.
MedLine Citation:
PMID:  19196751     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study is to analyze the immediate and late evolution for death and reintervention in a thoracic endovascular aortic repair (TEVAR) group, over a follow-up period of 112 months. Retrospective data of 255 patients, from 1998 to 2007, were obtained. The most prevalent diseases were thoracic aortic aneurysms (89), thoracic and abdominal aneurysms (85) and thoracic aortic dissections (61). The mean age was 63.2 years and 67.1% were male. Three hundred and three endoprostheses were used. Causes of morbidity, in the immediate postoperative period, were hyperthermia (45.9%), endoleaks (9.8% - being 7.1% type I), vascular complications (5.2%), renal insufficiency (3.1%) and neurological complications (3.1%). There were two (0.8%) hospital deaths and 17 (6.7%) late deaths. Time of follow-up was up to 112 months (mean of 60 months). The Kaplan-Meier curve analysis showed an increase of reintervention, compared with death, after a follow-up period of 42 months. Freedom from death at 36, 60 and 112 months was 96%, 89.1%, 85.1% and for reintervention, for the same periods was 93.6%, 82.7%, 57.2%, respectively. This study showed low incidence of prostheses related morbidity and immediate mortality. After a period of 42 months there was an increase on the percentual tax of reintervention.
Authors:
Rui M S Almeida; João C Leal; Eduardo K Saadi; Domingo M Braile; Antonio S T Rocha; Giuliano Volpiani; Crescencio Centola; Alcides Zago
Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2009-02-05
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  8     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-04-21     Completed Date:  2009-07-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  524-8     Citation Subset:  IM    
Affiliation:
UNIOESTE - Parana's West State University, Cascavel, Brazil. ruimsalmeida@iccop.com.br
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Aneurysm, Dissecting / surgery
Aorta, Thoracic / surgery*
Aortic Aneurysm, Abdominal / surgery
Aortic Aneurysm, Thoracic / surgery
Aortic Coarctation / surgery
Aortic Diseases / mortality,  surgery*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / adverse effects,  instrumentation,  mortality
Brazil
Female
Hospital Mortality
Humans
Kaplan-Meiers Estimate
Male
Middle Aged
Prosthesis Design
Reoperation
Retrospective Studies
Risk Assessment
Risk Factors
Time Factors
Treatment Outcome
Ulcer / surgery
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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