Subclavian revascularization in the age of thoracic endovascular aortic repair and comparison of outcomes in patients with occlusive disease Salvatore.

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Subclavian revascularization in the age of thoracic endovascular aortic repair and comparison of outcomes in patients with occlusive disease Salvatore T. Scali, MD, Catherine K. Chang, MD, Stephen G. Pape, BS, Robert J. Feezor, MD, Scott A. Berceli, MD, PhD, Thomas S. Huber, MD, PhD, Adam W. Beck, MD Journal of Vascular Surgery Volume 58, Issue 4, Pages 901-909 (October 2013) DOI: 10.1016/j.jvs.2013.04.005 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Thirty-day stroke/death rate after subclavian revascularization for thoracic endovascular aortic repair (TEVAR) or occlusive disease (OD) indications stratified by the need for adjunctive intervention. Although not statistically significant, TEVAR patients requiring adjunctive intervention in addition to subclavian revascularization appeared to have a clinical trend toward higher neurologic morbidity and mortality than those who did not (16.4% vs 5.9%). Incidence of stroke/death was similar in OD patients regardless of their need for intraoperative adjuncts (15.4% with and 16.0% without). Journal of Vascular Surgery 2013 58, 901-909DOI: (10.1016/j.jvs.2013.04.005) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Primary patency of subclavian revascularization is shown for thoracic endovascular aortic repair (TEVAR) and occlusive disease (OD) indications. The two groups have equivalent 1-year and 3-year primary patency. SE, Standard error. Journal of Vascular Surgery 2013 58, 901-909DOI: (10.1016/j.jvs.2013.04.005) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Freedom from reintervention after subclavian revascularization for thoracic endovascular aortic repair (TEVAR) and occlusive disease (OD) indications is depicted. No difference in the need for reintervention is noted at 1 and 3 years between the two groups. SE, Standard error. Journal of Vascular Surgery 2013 58, 901-909DOI: (10.1016/j.jvs.2013.04.005) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 4 Overall patient survival after subclavian revascularization for thoracic endovascular aortic repair (TEVAR) and occlusive disease (OD) indications is demonstrated. Notably, despite elevated rates of neurologic morbidity compared with historical controls, 5-year survival is good and equivalent between the two cohorts. Journal of Vascular Surgery 2013 58, 901-909DOI: (10.1016/j.jvs.2013.04.005) Copyright © 2013 Society for Vascular Surgery Terms and Conditions