Endovascular Aortic Repair Versus Open Surgical Repair for Descending Thoracic Aortic Disease

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Endovascular versus open surgical repair for blunt thoracic aortic injury.

A best evidence topic in vascular surgery was written according to a structured protocol. The question addressed was whether patients with acute traumatic thoracic aortic injury have a better outcome with endovascular or open surgical repair. Altogether, 283 papers were found using the reported search, of which five represented the best evidence to answer the clinical question. The author, jour...

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Long-term survival after open repair and thoracic endovascular aortic repair for descending thoracic aortic aneurysms.

Thoracic endovascular aortic repair (TEVAR) for descending thoracic aortic aneurysms (DTAs) was first reported by Dake et al1 in 1994. The advent of TEVAR was clinically relevant because open DTA repair had long been associated with operative mortality rates ranging from 5% to 7% at centers of excellence2,3 to as high as 20% to 22% in real-world practice.4,5 The favorable results6 of TEVAR with...

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Outcomes of Open Surgical Repair of Descending Thoracic Aortic Disease

BACKGROUND To determine the predictors of clinical outcomes following surgical descending thoracic aortic (DTA) repair. METHODS We identified 103 patients (23 females; mean age, 64.1±12.3 years) who underwent DTA replacement from 1999 to 2011 using either deep hypothermic circulatory arrest (44%) or partial cardiopulmonary bypass (CPB, 56%). RESULTS The early mortality rate was 4.9% (n=5). ...

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Thoracic endovascular repair versus open surgical repair - which is the more cost-effective intervention for descending thoracic aortic pathologies?

OBJECTIVE Endovascular treatment is increasingly used to treat complicated aortic pathology. The aim of the study was to assess if compared with operative repair, thoracic endovascular repair of aorta (TEVAR) was associated with a cost benefit in management of diseases affecting the descending thoracic aorta. We also compared early and mid-term outcomes between the two groups. METHODS Clinica...

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Endovascular Repair versus Open Repair for Isolated Descending Thoracic Aortic Aneurysm

PURPOSE To compare the outcomes of thoracic endovascular aortic repair (TEVAR) with those of open repair for descending thoracic aortic aneurysms (DTAA). MATERIALS AND METHODS We compared the outcomes of 114 patients with DTAA and proximal landing zones 3 or 4 after TEVAR to those of 53 patients after conventional open repairs. Thirty-day and late mortality were the primary endpoints, and ear...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2010

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2009.11.047