Does the type of aortic pathology affect periprocedural outcomes in patients undergoing thoracic endovascular aortic repair?

Aim: To examine whether the type of aortic pathology affects periprocedural outcomes in patients undergoing thoracic endovascular aortic repair (TEVAR). Material and Methods: This retrospective observational cohort study included 47 TEVAR patients in total. Based on the kind of aortic pathology, the...

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Main Authors: Serdar Badem, Mustafa Selcuk Atasoy
Format: Article
Language:English
Published: Turkish National Vascular and Endovascular Surgery Society 2024-03-01
Series:Turkish Journal of Vascular Surgery
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Online Access:https://turkishjournalofvascularsurgery.org//?mno=219287
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author Serdar Badem
Mustafa Selcuk Atasoy
author_facet Serdar Badem
Mustafa Selcuk Atasoy
author_sort Serdar Badem
collection DOAJ
description Aim: To examine whether the type of aortic pathology affects periprocedural outcomes in patients undergoing thoracic endovascular aortic repair (TEVAR). Material and Methods: This retrospective observational cohort study included 47 TEVAR patients in total. Based on the kind of aortic pathology, the patients were categorized into three groups: Group 1 (n=23) included patients with type B aortic dissection (TBAD), Group 2 (n=14) included patients with descending thoracic aortic aneurysm (DTAA), and Group 3 (n=10) included patients with thoracic aortic mural thrombus (TAMT). Preprocedural basic clinical features, procedural data, and postprocedural outcomes and complications were compared between the groups. Results: The study population consisted of 36 males and 11 females, with a mean age of 62.48±14.2 years. Most of the patients in Groups 1 and 2 were male (82.6% and 92.8%), while 40% of the patients in Group 3 were male, and this difference was statistically significant. Compared to patients in other groups, individuals in Group 2 were significantly older and exhibited a higher incidence of chronic obstructive pulmonary disease and coronary artery disease. Group 3 required thromboembolectomy more frequently during the postprocedural period. In terms of other postprocedural outcomes, complications and mortality, there were no significant differences between the groups. Conclusion: Our study demonstrated that the type of aortic pathology did not significantly influence periprocedural outcomes in patients undergoing thoracic endovascular aortic repair (TEVAR). The TEVAR procedure can be effectively performed in suitable patients with various pathologies of the descending thoracic aorta. [Turk J Vasc Surg 2024; 33(3.000): 176-82]
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spelling doaj-art-dd4b6ace94ee4694be82562c015eb9782025-02-11T11:13:16ZengTurkish National Vascular and Endovascular Surgery SocietyTurkish Journal of Vascular Surgery2667-50802024-03-013331768210.9739/tjvs.2024.09.040219287Does the type of aortic pathology affect periprocedural outcomes in patients undergoing thoracic endovascular aortic repair?Serdar Badem0Mustafa Selcuk Atasoy1Bursa City Hospital, Department of Cardiovascular Surgery, Bursa, Turkey Bursa City Hospital, Department of Cardiovascular Surgery, Bursa, TurkeyAim: To examine whether the type of aortic pathology affects periprocedural outcomes in patients undergoing thoracic endovascular aortic repair (TEVAR). Material and Methods: This retrospective observational cohort study included 47 TEVAR patients in total. Based on the kind of aortic pathology, the patients were categorized into three groups: Group 1 (n=23) included patients with type B aortic dissection (TBAD), Group 2 (n=14) included patients with descending thoracic aortic aneurysm (DTAA), and Group 3 (n=10) included patients with thoracic aortic mural thrombus (TAMT). Preprocedural basic clinical features, procedural data, and postprocedural outcomes and complications were compared between the groups. Results: The study population consisted of 36 males and 11 females, with a mean age of 62.48±14.2 years. Most of the patients in Groups 1 and 2 were male (82.6% and 92.8%), while 40% of the patients in Group 3 were male, and this difference was statistically significant. Compared to patients in other groups, individuals in Group 2 were significantly older and exhibited a higher incidence of chronic obstructive pulmonary disease and coronary artery disease. Group 3 required thromboembolectomy more frequently during the postprocedural period. In terms of other postprocedural outcomes, complications and mortality, there were no significant differences between the groups. Conclusion: Our study demonstrated that the type of aortic pathology did not significantly influence periprocedural outcomes in patients undergoing thoracic endovascular aortic repair (TEVAR). The TEVAR procedure can be effectively performed in suitable patients with various pathologies of the descending thoracic aorta. [Turk J Vasc Surg 2024; 33(3.000): 176-82]https://turkishjournalofvascularsurgery.org//?mno=219287aortic aneurysmaortic dissectionaortic mural thrombusclinical outcomesthoracic endovascular aortic repair
spellingShingle Serdar Badem
Mustafa Selcuk Atasoy
Does the type of aortic pathology affect periprocedural outcomes in patients undergoing thoracic endovascular aortic repair?
Turkish Journal of Vascular Surgery
aortic aneurysm
aortic dissection
aortic mural thrombus
clinical outcomes
thoracic endovascular aortic repair
title Does the type of aortic pathology affect periprocedural outcomes in patients undergoing thoracic endovascular aortic repair?
title_full Does the type of aortic pathology affect periprocedural outcomes in patients undergoing thoracic endovascular aortic repair?
title_fullStr Does the type of aortic pathology affect periprocedural outcomes in patients undergoing thoracic endovascular aortic repair?
title_full_unstemmed Does the type of aortic pathology affect periprocedural outcomes in patients undergoing thoracic endovascular aortic repair?
title_short Does the type of aortic pathology affect periprocedural outcomes in patients undergoing thoracic endovascular aortic repair?
title_sort does the type of aortic pathology affect periprocedural outcomes in patients undergoing thoracic endovascular aortic repair
topic aortic aneurysm
aortic dissection
aortic mural thrombus
clinical outcomes
thoracic endovascular aortic repair
url https://turkishjournalofvascularsurgery.org//?mno=219287
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