Long-Term Outcomes in Patients Undergoing Thoracic Endovascular Aortic Repair. Single Center Experience

Authors

  • Aleksander Dokollari Cardiac Surgery Department, St. Boniface Hospital, University of Manitoba, Winnipeg, MB R3T 2N2, Canada https://orcid.org/0000-0001-8032-1741
  • Serge Sicouri Department of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USA; Department of Cardiac Surgery, Lankenau Medical Center, Main Line Health, Wynnewood, PA 19096, USA
  • Roberto Rodriguez Department of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USA
  • Robert Meisner Department of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USA
  • Henry Hirsch Department of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USA
  • Vincent DiGiovanni Department of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USA
  • Alexander Uribe Department of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USA
  • Mohammad El-Diasty Cardiac Surgery Department, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA
  • Beatrice Bacchi Cardiac Surgery Unit, Clinical and Experimental Department, University of Florence, 50121 Florence, Italy
  • Francesco Cabrucci Department of Cardiac Surgery Research, Lankenau Institute for Medical Research, Main Line Health, Wynnewood, PA 19096, USA; Cardiac Surgery Unit, Clinical and Experimental Department, University of Florence, 50121 Florence, Italy
  • Ali Fatehi Hassanabad Section of Cardiac Surgery, Division of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Calgary, AB T2N 1N4, Canada
  • Sandro Gelsomino Cardiothoracic Department, Maastricht University Hospital, 6229 HX Maastricht, The Netherlands
  • Giulia Elena Mandoli Department of Medical Biotechnologies, Division of Cardiology, University of Siena, 53100 Siena, Italy
  • Matteo Cameli Department of Medical Biotechnologies, Division of Cardiology, University of Siena, 53100 Siena, Italy
  • Massimo Bonacchi Cardiac Surgery Unit, Clinical and Experimental Department, University of Florence, 50121 Florence, Italy
  • Basel Ramlawi Department of Cardiac Surgery, Lankenau Medical Center, Main Line Health, Wynnewood, PA 19096, USA

DOI:

https://doi.org/10.59958/hsf.8099

Keywords:

thoracic endovascular aortic repair (TEVAR), long-term outcome, major adverse cardiovascular and cerebrovascular events (MACCE)

Abstract

Background: To analyze long-term outcomes in patients undergoing thoracic endovascular aortic repair (TEVAR). Methods: All consecutive 97 patients undergoing TEVAR between September 2014 and September 2022 were included in the study. The primary outcome was the long-term incidence of overall death and major adverse cardiovascular and cerebrovascular events (MACCE). Results: Mean age was 70.4 years, and 22 (23.2%) had cerebrovascular disease (CBVD). 49 (51.6%) patients had prior cardiac surgery intervention and 8 (8.5%) had prior aortic valve replacement. Twenty-eight patients (28.8%) presented with aortic dissection, 60 (61.8%) had aortic aneurysm, 4 (4.1%) had intramural hematoma, and 5 (5.1%) had other presentations. An emergent procedure was performed in 6 (6.2%) patients, an urgent procedure in 37 (38.1%) patients and 54 (55.7%) patients had an elective procedure. Intraoperatively, 78.3% had percutaneous TEVAR, 5.1% had ministernotomy TEVAR, while 10.3% had concomitant full sternotomy TEVAR repair. Hospital mortality occurred in 7 patients (7.2%). At 8-year follow-up, 76% were alive, 25.8% had MACCE, 21.6% were diagnosed with endoleaks (13 patients type II and 2 patients type 1) and 10.3% underwent repeat intervention. Conclusions: This single-center study found that patients undergoing TEVAR had good short- and long-term survival and MACCE. Despite almost half of the patients undergoing an urgent/emergent procedure, the clinical outcomes were favorable for TEVAR.

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Published

2025-01-21

How to Cite

Dokollari, A., Sicouri, S., Rodriguez, R. ., Meisner, R., Hirsch, H., DiGiovanni, V., Uribe, A., El-Diasty, M., Bacchi, B., Cabrucci, F., Hassanabad, A. F. ., Gelsomino, S., Mandoli, G. E., Cameli, M., Bonacchi, M., & Ramlawi, B. (2025). Long-Term Outcomes in Patients Undergoing Thoracic Endovascular Aortic Repair. Single Center Experience. The Heart Surgery Forum, 28(1), E086–E095. https://doi.org/10.59958/hsf.8099

Issue

Vol. 28 No. 1 (2025)

Section

Article

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