Presentation is loading. Please wait.

Presentation is loading. Please wait.

Efficacy of thoracic endovascular stent repair for chronic type B aortic dissection with aneurysmal degeneration  Salvatore T. Scali, MD, Robert J. Feezor,

Published byΕυμελια Μπουκουβαλαίοι Modified over 5 years ago

Similar presentations

Presentation on theme: "Efficacy of thoracic endovascular stent repair for chronic type B aortic dissection with aneurysmal degeneration  Salvatore T. Scali, MD, Robert J. Feezor,"— Presentation transcript:

1 Efficacy of thoracic endovascular stent repair for chronic type B aortic dissection with aneurysmal degeneration  Salvatore T. Scali, MD, Robert J. Feezor, MD, Catherine K. Chang, MD, David H. Stone, MD, Philip J. Hess, MD, Tomas D. Martin, MD, Thomas S. Huber, MD, PhD, Adam W. Beck, MD  Journal of Vascular Surgery  Volume 58, Issue 1, Pages e1 (July 2013) DOI: /j.jvs Copyright © 2013 Society for Vascular Surgery Terms and Conditions

2 Fig 1 This figure demonstrates the relative change in maximal descending thoracic aortic diameter after thoracic endovascular aortic aneurysm repair (TEVAR) for chronic type B aortic dissection (cTBAD) with aneurysm. The differential impact of partial vs complete thrombosis of the false lumen (FL) led to significant differences (P = .02) in average diameter reduction after endograft repair. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

3 Fig 2 This demonstrates a comparison of the average maximal thoracic aortic diameter change after thoracic endovascular aortic aneurysm repair (TEVAR) for chronic type B aortic dissection (cTBAD) with aneurysm formation as a function of residual false lumen (FL) patency. Patients with isolated infrarenal FL patency vs visceral aortic segmental patency vs distal descending thoracic aortic FL patency are compared. A significant difference (P < .0005) in diameter outcome is noted and primarily impacted by persistent perfusion of the FL in the distal descending thoracic aorta resulting in progression of aneurysm size. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Kaplan-Meier curve with 95% confidence intervals (CIs) of secondary intervention after thoracic endovascular aortic aneurysm repair (TEVAR) for chronic type B aortic dissection (cTBAD) with aneurysm. All displayed intervals have ≤10% standard error of the mean. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Life table estimate of long-term survival with 95% confidence intervals (CIs) after thoracic endovascular aortic aneurysm repair (TEVAR) for chronic type B aortic dissection (cTBAD) for aneurysm. All displayed intervals have ≤10% standard error of the mean. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

6 Fig 5 This figure compares the proportion of patients surviving between cohorts requiring reintervention and those who did not. No statistically significant difference was noted between the two subgroups (log-rank, P = .48). All displayed intervals have ≤10% standard error of the mean. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

7 Fig 6 Kaplan-Meier estimates of survival dichotomized by presence or absence of favorable aortic remodeling. Favorable aortic remodeling was defined as a ≥5 mm decrease in maximal descending thoracic aortic diameter and no need for aortic reintervention either at the intended treatment zone or remote aortic sites. No difference in estimated long-term survival is present between the two groups (log-rank, P = .18). All displayed intervals have ≤10% standard error of the mean. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

8 Supplementary Fig (online only)
Study selection criteria algorithm. cTBAD, Chronic type B aortic dissection; TEVAR, thoracic endovascular aortic aneurysm repair. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Download ppt "Efficacy of thoracic endovascular stent repair for chronic type B aortic dissection with aneurysmal degeneration  Salvatore T. Scali, MD, Robert J. Feezor,"

Similar presentations

Restrictive bare stent for prevention of stent graft-induced distal redissection after thoracic endovascular aortic repair for type B aortic dissection 

Restrictive bare stent for prevention of stent graft-induced distal redissection after thoracic endovascular aortic repair for type B aortic dissection 
Outcomes of surgeon-modified fenestrated-branched endograft repair for acute aortic pathology  Salvatore T. Scali, MD, Dan Neal, MS, Vida Sollanek, BS,

Outcomes of surgeon-modified fenestrated-branched endograft repair for acute aortic pathology  Salvatore T. Scali, MD, Dan Neal, MS, Vida Sollanek, BS,
Open Distal Fenestration of Chronic Dissection Facilitates Endovascular Elephant Trunk Completion: Late Outcomes  Muhammad Aftab, MD, Jay J. Idrees, MD,

Open Distal Fenestration of Chronic Dissection Facilitates Endovascular Elephant Trunk Completion: Late Outcomes  Muhammad Aftab, MD, Jay J. Idrees, MD,
Patients with chronic obstructive pulmonary disease have shorter survival but superior endovascular outcomes after endovascular aneurysm repair  Moqueet.

Patients with chronic obstructive pulmonary disease have shorter survival but superior endovascular outcomes after endovascular aneurysm repair  Moqueet.
Philip P. Goodney, MD, MS, Benjamin S

Philip P. Goodney, MD, MS, Benjamin S
The challenge of associated intramural hematoma with endovascular repair for penetrating ulcers of the descending thoracic aorta  Himanshu J. Patel, MD,

The challenge of associated intramural hematoma with endovascular repair for penetrating ulcers of the descending thoracic aorta  Himanshu J. Patel, MD,
Acute bilateral renal artery chimney stent thrombosis after endovascular repair of a juxtarenal abdominal aortic aneurysm  Salvatore T. Scali, MD, Robert.

Acute bilateral renal artery chimney stent thrombosis after endovascular repair of a juxtarenal abdominal aortic aneurysm  Salvatore T. Scali, MD, Robert.
Outcome of thoracic endovascular aortic repair in patients with thoracic and thoracoabdominal aortic aneurysms  Moritz S. Bischoff, MD, Marius Ante, MD,

Outcome of thoracic endovascular aortic repair in patients with thoracic and thoracoabdominal aortic aneurysms  Moritz S. Bischoff, MD, Marius Ante, MD,
Reintervention after thoracic endovascular aortic repair of complicated aortic dissection  Elsa M. Faure, MD, Ludovic Canaud, MD, PhD, Camille Agostini,

Reintervention after thoracic endovascular aortic repair of complicated aortic dissection  Elsa M. Faure, MD, Ludovic Canaud, MD, PhD, Camille Agostini,
Salvatore T. Scali, MD, Adam W. Beck, MD, Khayree Butler, MD, Robert J

Salvatore T. Scali, MD, Adam W. Beck, MD, Khayree Butler, MD, Robert J
National trends and regional variation of open and endovascular repair of thoracic and thoracoabdominal aneurysms in contemporary practice  Salvatore.

National trends and regional variation of open and endovascular repair of thoracic and thoracoabdominal aneurysms in contemporary practice  Salvatore.
Ashkan Karimi, MD, Karen L. Walker, MD, MHS, Tomas D

Ashkan Karimi, MD, Karen L. Walker, MD, MHS, Tomas D
Financial implications of coding inaccuracies in patients undergoing elective endovascular abdominal aortic aneurysm repair  Suniah Ayub, MD, MPH, Salvatore.

Financial implications of coding inaccuracies in patients undergoing elective endovascular abdominal aortic aneurysm repair  Suniah Ayub, MD, MPH, Salvatore.
Himanshu J. Patel, MD, David M. Williams, MD, Gilbert R

Himanshu J. Patel, MD, David M. Williams, MD, Gilbert R
Aortic remodeling, volumetric analysis, and clinical outcomes of endoluminal exclusion of acute complicated type B thoracic aortic dissections  Karen.

Aortic remodeling, volumetric analysis, and clinical outcomes of endoluminal exclusion of acute complicated type B thoracic aortic dissections  Karen.
Long-term durability of open abdominal aortic aneurysm repair

Long-term durability of open abdominal aortic aneurysm repair
Salvatore T. Scali, MD, Diego Ayo, MD, Kristina A

Salvatore T. Scali, MD, Diego Ayo, MD, Kristina A
Endovascular abdominal aortic aneurysm repair: Long-term outcome measures in patients at high-risk for open surgery  Gregorio A. Sicard, MD, Robert M.

Endovascular abdominal aortic aneurysm repair: Long-term outcome measures in patients at high-risk for open surgery  Gregorio A. Sicard, MD, Robert M.
Kevin J. Bruen, MD, Robert J. Feezor, MD, Michael J

Kevin J. Bruen, MD, Robert J. Feezor, MD, Michael J
Defining risk and identifying predictors of mortality for open conversion after endovascular aortic aneurysm repair  Salvatore T. Scali, MD, Adam W. Beck,

Defining risk and identifying predictors of mortality for open conversion after endovascular aortic aneurysm repair  Salvatore T. Scali, MD, Adam W. Beck,

Similar presentations

Ads by Google