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Salvatore T. Scali, MD, Adam W. Beck, MD, Khayree Butler, MD, Robert J

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Presentation on theme: "Salvatore T. Scali, MD, Adam W. Beck, MD, Khayree Butler, MD, Robert J"— Presentation transcript:

1 Pathology-specific secondary aortic interventions after thoracic endovascular aortic repair 
Salvatore T. Scali, MD, Adam W. Beck, MD, Khayree Butler, MD, Robert J. Feezor, MD, Tomas D. Martin, MD, Philip J. Hess, MD, Thomas S. Huber, MD, PhD, Catherine K. Chang, MD  Journal of Vascular Surgery  Volume 59, Issue 3, Pages (March 2014) DOI: /j.jvs Copyright © 2014 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Indications for the initial thoracic endovascular aortic repair (TEVAR) by aortic pathology. Notably, 73% of the index TEVARs was performed for dissections and degenerative aneurysms. B, Incidence or rate of secondary aortic intervention (SAI) during follow-up stratified by initial TEVAR indication. CTBAD, Chronic type B aortic dissection with aneurysm; TAA, thoracic aneurysm. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Flowchart of secondary aortic interventions (SAI) stratified by the three most common thoracic endovascular aortic repair (TEVAR) indications. A, Acute aortic dissection (AD). B, Chronic type B aortic dissection with aneurysm (CTBAD) and aneurysm. C, Thoracic aneurysm (TAA). endo, Endovascular. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Freedom from secondary aortic intervention (SAI) after the index thoracic endovascular aortic repair (TEVAR). One- and 5-year freedom from SAI (with 95% confidence interval [CI]) were estimated at 86% (82%-90%) and 68% (57%-76%), respectively, for the entire cohort of patients (n = 585). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Freedom from secondary aortic intervention (SAI) when stratified for the three most common indications for the index thoracic endovascular aortic repair (TEVAR). Rate of SAI was highest for the acute dissection, followed by chronic dissection with aneurysm and then degenerative aneurysms. CTBAD, Chronic type B aortic dissection with aneurysm; TAA, thoracic aneurysm. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Survival impact of secondary aortic intervention (SAI) following thoracic endovascular aortic repair (TEVAR). No difference in survival was noted between patients who underwent SAI and those who did not. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

7 Fig 6 Survival when stratified for the three most common indications for the index thoracic endovascular aortic repair (TEVAR). Survival was lowest following TEVAR for acute dissection, followed by degenerative aneurysms, and then chronic dissection with aneurysm. CTBAD, Chronic type B aortic dissection with aneurysm; TAA, thoracic aneurysm. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

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