dc.contributor.author | Ulsaker, Håvard | |
dc.contributor.author | Seternes, Arne | |
dc.contributor.author | Brekken, Reidar | |
dc.contributor.author | Manstad-Hulaas, Frode | |
dc.date.accessioned | 2023-02-23T12:42:20Z | |
dc.date.available | 2023-02-23T12:42:20Z | |
dc.date.created | 2022-10-10T15:29:59Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | EJVES Vascular Forum (EJVES VF). 2022, 56 6-10. | en_US |
dc.identifier.uri | https://hdl.handle.net/11250/3053614 | |
dc.description.abstract | Objective:
To investigate technical and clinical outcomes in patients with thoraco-abdominal aortic aneurysms treated with the multibranched off the shelf Zenith t-Branch stent graft or a custom made device (CMD).
Methods:
A retrospective study was conducted of patients operated on at a single tertiary vascular centre in Norway. Twenty eight t-Branch and 17 CMD patients were identified. Demographic, aneurysm, and peri-operative data were summarised and compared.
Results:
Thirty day mortality was 4% (2/45), with mortality rates of 7% (2/28) and 0 in t-Branch and CMD patients, respectively (p = .52). Technical success was 87% (39/45), with a non-significant difference between t-Branch and CMD procedures of 89% (25/28) and 82% (14/17), respectively (p = .63). Stent graft coverage was significantly longer in t-Branch patients (p = .020). Paraparesis or paraplegia developed in 18% (5/28) of t-Branch patients and 12% (2/17) of CMD patients (p = .69), and spinal cord ischaemia was associated with Crawford type II aneurysms (p = .010) and aortic coverage >400 mm (p = .050). The estimated survival at one and two years for t-Branch patients was 93% and 88%, and 100% and 92% for CMD patients. Freedom from re-intervention was estimated at 70% and 43% at one and two years for t-Branch patients, and 58% and 50% for CMD patients.
Conclusion:
The study showed low 30 day mortality rates, acceptable technical success rates, high medium term survival, and no statistically significant differences in clinically relevant outcomes between t-Branch and CMD patients. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Elsevier | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Midterm Outcomes for Endovascular Repair of Thoraco-Abdominal Aortic Aneurysms | en_US |
dc.title.alternative | Midterm Outcomes for Endovascular Repair of Thoraco-Abdominal Aortic Aneurysms | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | © 2022 The Authors | en_US |
dc.source.pagenumber | 6-10 | en_US |
dc.source.volume | 56 | en_US |
dc.source.journal | EJVES Vascular Forum (EJVES VF) | en_US |
dc.identifier.doi | 10.1016/j.ejvsvf.2022.03.007 | |
dc.identifier.cristin | 2060165 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |