A review of follow-up outcomes after elective endovascular repair of degenerative thoracic aortic aneurysms

Arnoud V. Kamman, Frederik H W Jonker, Foeke J H Nauta, Santi Trimarchi, Frans L. Moll, Joost A. van Herwaarden

Research output: Contribution to journalArticlepeer-review

Abstract

Long-term outcomes of elective thoracic endovascular aortic repair (TEVAR) for degenerative thoracic aortic aneurysms (TAA) are not well defined. A review of the literature on the follow-up outcomes of elective TEVAR for degenerative TAA resulted in 22 relevant articles. Two- and five-year freedom from aneurysm-related death varied between 93.0% and 100.0%, and 82.4% to 92.7%, respectively. Two-year and five-year all-cause survival ranged between 68.0% and 97.2% and 47.0% to 78.0%, respectively. Follow-up ranged between 17.3 and 66.0 months. Most common endograft-related complication was endoleak, with reported rate between 1.4% and 14.8% during six months up to five years of follow-up. Endovascular reinterventions were reported in 0.0–32.3%, secondary open surgery was needed in 0.0% to 4.7% during follow-up. Aneurysm-related survival rates after elective TEVAR for degenerative TAA are acceptable. However, reported incidences of endograft-related complications vary considerably in the literature, but the majority can be managed with conservative treatment or additional endovascular procedures.

Original languageEnglish
Pages (from-to)208-216
Number of pages9
JournalVascular
Volume24
Issue number2
DOIs
Publication statusPublished - Apr 1 2016

Keywords

  • aneurysm
  • Endovascular procedures/stents
  • outcomes
  • thoracic

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery

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