Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection

salihi, salih; ERKENGEL, HALİL İBRAHİM; Kara, İbrahim; Sacli, Hakan

doi:10.9739/tjvs.2020.522

Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection

Salih SALİHİ, (Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Sakarya, Türkiye)

Hakan SAÇLI, (Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Sakarya, Türkiye)

Halil İbrahim ERKENGEL, (Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Sakarya, Türkiye)

İbrahim KARA (Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Sakarya, Türkiye)

Turkish journal of vascular surgery

4 1

Yıl: 2020 Cilt: 29 Sayı: 1 Sayfa Aralığı: 26 - 31 Metin Dili: İngilizce DOI: 10.9739/tjvs.2020.522 İndeks Tarihi: 04-10-2020

Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection

Öz:

Objectives: The aim of this study was to evaluate the mid-term outcomes of thoracic endovascular aortic repair (TEVAR) of complicatedtype B aortic dissection.Patients and methods: This retrospective study included a total of 29 consecutive patients (27 males, 2 females; mean age 61.1±11.8 years;range, 34 to 80 years) who underwent TEVAR due to complicated type B aortic dissection at our center between March 2015 and December2018. All pre-, intra-, and postoperative data were collected. Surgical and discharge notes were reviewed.Results: Of the patients, 27 had hypertension and seven had coronary artery disease. The mean maximum aortic diameter was 50.5±7.7 mm.Suspicion of impending rupture was the most (n=13) associated complication with type B aortic dissection. Six patients (20.7%) had ruptureand 10 patients (34.5%) had uncontrolled hypertension. The procedure was performed under elective conditions in 18 patients (62.1%) andunder emergency setting in 11 patients (37.9%). Early mortality was developed in one patient (3.4%) due to low cardiac output syndrome. Themean follow-up was 25±11 months. Late mortality occurred in two patients (6.9%) due to lung cancer and sepsis. The overall survival rate was86.1±9.8% and freedom from aortic re-intervention was 88.8±7.5% at 50 months.Conclusion: Our study results show that TEVAR is a safe procedure associated with good postoperative outcomes, and outstanding mid-termresults in complicated type B aortic dissection.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	salihi s, Sacli H, ERKENGEL H, Kara İ (2020). Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection. , 26 - 31. 10.9739/tjvs.2020.522
Chicago	salihi salih,Sacli Hakan,ERKENGEL HALİL İBRAHİM,Kara İbrahim Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection. (2020): 26 - 31. 10.9739/tjvs.2020.522
MLA	salihi salih,Sacli Hakan,ERKENGEL HALİL İBRAHİM,Kara İbrahim Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection. , 2020, ss.26 - 31. 10.9739/tjvs.2020.522
AMA	salihi s,Sacli H,ERKENGEL H,Kara İ Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection. . 2020; 26 - 31. 10.9739/tjvs.2020.522
Vancouver	salihi s,Sacli H,ERKENGEL H,Kara İ Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection. . 2020; 26 - 31. 10.9739/tjvs.2020.522
IEEE	salihi s,Sacli H,ERKENGEL H,Kara İ "Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection." , ss.26 - 31, 2020. 10.9739/tjvs.2020.522
ISNAD	salihi, salih vd. "Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection". (2020), 26-31. https://doi.org/10.9739/tjvs.2020.522

APA	salihi s, Sacli H, ERKENGEL H, Kara İ (2020). Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection. Turkish journal of vascular surgery, 29(1), 26 - 31. 10.9739/tjvs.2020.522
Chicago	salihi salih,Sacli Hakan,ERKENGEL HALİL İBRAHİM,Kara İbrahim Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection. Turkish journal of vascular surgery 29, no.1 (2020): 26 - 31. 10.9739/tjvs.2020.522
MLA	salihi salih,Sacli Hakan,ERKENGEL HALİL İBRAHİM,Kara İbrahim Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection. Turkish journal of vascular surgery, vol.29, no.1, 2020, ss.26 - 31. 10.9739/tjvs.2020.522
AMA	salihi s,Sacli H,ERKENGEL H,Kara İ Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection. Turkish journal of vascular surgery. 2020; 29(1): 26 - 31. 10.9739/tjvs.2020.522
Vancouver	salihi s,Sacli H,ERKENGEL H,Kara İ Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection. Turkish journal of vascular surgery. 2020; 29(1): 26 - 31. 10.9739/tjvs.2020.522
IEEE	salihi s,Sacli H,ERKENGEL H,Kara İ "Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection." Turkish journal of vascular surgery, 29, ss.26 - 31, 2020. 10.9739/tjvs.2020.522
ISNAD	salihi, salih vd. "Mid-term outcomes of thoracic endovascular aortic repair for complicated type B aortic dissection". Turkish journal of vascular surgery 29/1 (2020), 26-31. https://doi.org/10.9739/tjvs.2020.522