Early and Midterm Outcomes After Endovascular Treatment of Degenerative Aneurysms of the Descending Thoracic Aorta: A Finnish Multicenter Study
Purpose To evaluate results of endovascular stent-graft placement for aneurysms of the descending aorta in 3 Finnish university hospitals during 1998–2010. Methods Among 158 consecutive patients treated with stent-graft placement for disease of the descending thoracic aorta, all 69 patients (58 men;...
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| Veröffentlicht in: | Journal of endovascular therapy 2013-06, Vol.20 (3), p.257-264 |
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| container_title | Journal of endovascular therapy |
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| creator | Saari, Petri Biancari, Fausto Ihlberg, Leo Jaakkola, Pekka Nevala, Terhi Perälä, Jukka Roth, Wolf-Dieter Manninen, Hannu |
| description | Purpose
To evaluate results of endovascular stent-graft placement for aneurysms of
the descending aorta in 3 Finnish university hospitals during
1998–2010.
Methods
Among 158 consecutive patients treated with stent-graft placement for disease
of the descending thoracic aorta, all 69 patients (58 men; mean age 71.7
years, range 54–90) with an aneurysm were included in the analysis.
Medical records, radiological images, and national death records were
collected and analyzed on an intention-to-treat basis.
Results
The 30-day mortality rate was 3.7% in 54 elective patients and
46.7% in 15 urgently treated acute patients. The paraparesis rate was
4.3%, and the major stroke rate was 4.3% after the operation.
There were 4 aneurysm ruptures, all in the urgent group, two of whom had
access failure. The other two died despite seemingly good initial results.
The mean follow-up was 34.8±29 months. Two late ruptures occurred in
patients who were lost to follow-up. In all, 12 type I (10 early, 2 late)
and 1 late type III endoleaks were encountered in the observation
period.
Conclusion
Based on our findings, endovascular treatment of aneurysms of the descending
aorta is relatively safe. To reduce the risk of postoperative complications,
optimal preoperative imaging is mandatory. Postoperative regular imaging
controls are indicated for early detection and prompt treatment of late type
I or III endoleaks and to reduce the risk of late ruptures. |
| doi_str_mv | 10.1583/12-4203R.1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1365053902</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1583_12-4203R.1</sage_id><sourcerecordid>1365053902</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-e6e73e74b374c25633db21c6a19fecc183f9126725d9094ecba0528bfe0361983</originalsourceid><addsrcrecordid>eNplkd1u1DAQhS1ERcvCDQ-ALHEBQkrx2HF-uIvKliK1qgTLdeQ4k11Xid36p9I-Ba9MwrYVgquZ0Xw6czSHkDfATkFW4hPwLOdMfD-FZ-QEZC4zkJI9X3peZAXj1TF5GcINYxw4wAtyzEUpgNfihPxaKz_uqbI9vTJ9RD_R6xS1mzDQZphnura9u1dBp1F5uvGo4oQ2UjfQL7hFi15Fc4-0sZj8Pkxh2cQdztug0fbGbulm57zSRtPG-ag-04aeG2tN2NGrNEYzY8uhHzH1-1fkaFBjwNcPdUV-nq83ZxfZ5fXXb2fNZaZFXsYMCywFlnknylxzWQjRdxx0oaAeUGuoxFADL0ou-5rVOepOMcmrbkAmCqgrsSIfDrq33t0lDLGdzOx3HJVFl0ILopBMiprxGX33D3rjkrezuxaWv1flYmBFPh4o7V0IHof21ptJ-X0LrF1iaoG3f2KatVfk7YNk6ibsn9DHXGbg_QEIaot_3ftf6jdjppky</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1420387256</pqid></control><display><type>article</type><title>Early and Midterm Outcomes After Endovascular Treatment of Degenerative Aneurysms of the Descending Thoracic Aorta: A Finnish Multicenter Study</title><source>MEDLINE</source><source>SAGE Complete</source><creator>Saari, Petri ; Biancari, Fausto ; Ihlberg, Leo ; Jaakkola, Pekka ; Nevala, Terhi ; Perälä, Jukka ; Roth, Wolf-Dieter ; Manninen, Hannu</creator><creatorcontrib>Saari, Petri ; Biancari, Fausto ; Ihlberg, Leo ; Jaakkola, Pekka ; Nevala, Terhi ; Perälä, Jukka ; Roth, Wolf-Dieter ; Manninen, Hannu</creatorcontrib><description>Purpose
To evaluate results of endovascular stent-graft placement for aneurysms of
the descending aorta in 3 Finnish university hospitals during
1998–2010.
Methods
Among 158 consecutive patients treated with stent-graft placement for disease
of the descending thoracic aorta, all 69 patients (58 men; mean age 71.7
years, range 54–90) with an aneurysm were included in the analysis.
Medical records, radiological images, and national death records were
collected and analyzed on an intention-to-treat basis.
Results
The 30-day mortality rate was 3.7% in 54 elective patients and
46.7% in 15 urgently treated acute patients. The paraparesis rate was
4.3%, and the major stroke rate was 4.3% after the operation.
There were 4 aneurysm ruptures, all in the urgent group, two of whom had
access failure. The other two died despite seemingly good initial results.
The mean follow-up was 34.8±29 months. Two late ruptures occurred in
patients who were lost to follow-up. In all, 12 type I (10 early, 2 late)
and 1 late type III endoleaks were encountered in the observation
period.
Conclusion
Based on our findings, endovascular treatment of aneurysms of the descending
aorta is relatively safe. To reduce the risk of postoperative complications,
optimal preoperative imaging is mandatory. Postoperative regular imaging
controls are indicated for early detection and prompt treatment of late type
I or III endoleaks and to reduce the risk of late ruptures.</description><identifier>ISSN: 1526-6028</identifier><identifier>EISSN: 1545-1550</identifier><identifier>DOI: 10.1583/12-4203R.1</identifier><identifier>PMID: 23731293</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Aneurysms ; Aortic Aneurysm, Thoracic - surgery ; Blood Vessel Prosthesis ; Confidence intervals ; Endovascular Procedures ; Female ; Hospitalization ; Hospitals ; Humans ; Ischemia ; Male ; Medical imaging ; Middle Aged ; Mortality ; Prostheses ; Retrospective Studies ; Statistical methods ; Stents ; Studies ; Success ; Time Factors ; Treatment Outcome ; Veins & arteries</subject><ispartof>Journal of endovascular therapy, 2013-06, Vol.20 (3), p.257-264</ispartof><rights>2013 International Society of Endovascular Specialists</rights><rights>Copyright Allen Press Publishing Services Jun 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-e6e73e74b374c25633db21c6a19fecc183f9126725d9094ecba0528bfe0361983</citedby><cites>FETCH-LOGICAL-c347t-e6e73e74b374c25633db21c6a19fecc183f9126725d9094ecba0528bfe0361983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1583/12-4203R.1$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1583/12-4203R.1$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,778,782,21806,27911,27912,43608,43609</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23731293$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saari, Petri</creatorcontrib><creatorcontrib>Biancari, Fausto</creatorcontrib><creatorcontrib>Ihlberg, Leo</creatorcontrib><creatorcontrib>Jaakkola, Pekka</creatorcontrib><creatorcontrib>Nevala, Terhi</creatorcontrib><creatorcontrib>Perälä, Jukka</creatorcontrib><creatorcontrib>Roth, Wolf-Dieter</creatorcontrib><creatorcontrib>Manninen, Hannu</creatorcontrib><title>Early and Midterm Outcomes After Endovascular Treatment of Degenerative Aneurysms of the Descending Thoracic Aorta: A Finnish Multicenter Study</title><title>Journal of endovascular therapy</title><addtitle>J Endovasc Ther</addtitle><description>Purpose
To evaluate results of endovascular stent-graft placement for aneurysms of
the descending aorta in 3 Finnish university hospitals during
1998–2010.
Methods
Among 158 consecutive patients treated with stent-graft placement for disease
of the descending thoracic aorta, all 69 patients (58 men; mean age 71.7
years, range 54–90) with an aneurysm were included in the analysis.
Medical records, radiological images, and national death records were
collected and analyzed on an intention-to-treat basis.
Results
The 30-day mortality rate was 3.7% in 54 elective patients and
46.7% in 15 urgently treated acute patients. The paraparesis rate was
4.3%, and the major stroke rate was 4.3% after the operation.
There were 4 aneurysm ruptures, all in the urgent group, two of whom had
access failure. The other two died despite seemingly good initial results.
The mean follow-up was 34.8±29 months. Two late ruptures occurred in
patients who were lost to follow-up. In all, 12 type I (10 early, 2 late)
and 1 late type III endoleaks were encountered in the observation
period.
Conclusion
Based on our findings, endovascular treatment of aneurysms of the descending
aorta is relatively safe. To reduce the risk of postoperative complications,
optimal preoperative imaging is mandatory. Postoperative regular imaging
controls are indicated for early detection and prompt treatment of late type
I or III endoleaks and to reduce the risk of late ruptures.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aneurysms</subject><subject>Aortic Aneurysm, Thoracic - surgery</subject><subject>Blood Vessel Prosthesis</subject><subject>Confidence intervals</subject><subject>Endovascular Procedures</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Prostheses</subject><subject>Retrospective Studies</subject><subject>Statistical methods</subject><subject>Stents</subject><subject>Studies</subject><subject>Success</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Veins & arteries</subject><issn>1526-6028</issn><issn>1545-1550</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNplkd1u1DAQhS1ERcvCDQ-ALHEBQkrx2HF-uIvKliK1qgTLdeQ4k11Xid36p9I-Ba9MwrYVgquZ0Xw6czSHkDfATkFW4hPwLOdMfD-FZ-QEZC4zkJI9X3peZAXj1TF5GcINYxw4wAtyzEUpgNfihPxaKz_uqbI9vTJ9RD_R6xS1mzDQZphnura9u1dBp1F5uvGo4oQ2UjfQL7hFi15Fc4-0sZj8Pkxh2cQdztug0fbGbulm57zSRtPG-ag-04aeG2tN2NGrNEYzY8uhHzH1-1fkaFBjwNcPdUV-nq83ZxfZ5fXXb2fNZaZFXsYMCywFlnknylxzWQjRdxx0oaAeUGuoxFADL0ou-5rVOepOMcmrbkAmCqgrsSIfDrq33t0lDLGdzOx3HJVFl0ILopBMiprxGX33D3rjkrezuxaWv1flYmBFPh4o7V0IHof21ptJ-X0LrF1iaoG3f2KatVfk7YNk6ibsn9DHXGbg_QEIaot_3ftf6jdjppky</recordid><startdate>201306</startdate><enddate>201306</enddate><creator>Saari, Petri</creator><creator>Biancari, Fausto</creator><creator>Ihlberg, Leo</creator><creator>Jaakkola, Pekka</creator><creator>Nevala, Terhi</creator><creator>Perälä, Jukka</creator><creator>Roth, Wolf-Dieter</creator><creator>Manninen, Hannu</creator><general>SAGE Publications</general><general>Allen Press Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201306</creationdate><title>Early and Midterm Outcomes After Endovascular Treatment of Degenerative Aneurysms of the Descending Thoracic Aorta: A Finnish Multicenter Study</title><author>Saari, Petri ; Biancari, Fausto ; Ihlberg, Leo ; Jaakkola, Pekka ; Nevala, Terhi ; Perälä, Jukka ; Roth, Wolf-Dieter ; Manninen, Hannu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-e6e73e74b374c25633db21c6a19fecc183f9126725d9094ecba0528bfe0361983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aneurysms</topic><topic>Aortic Aneurysm, Thoracic - surgery</topic><topic>Blood Vessel Prosthesis</topic><topic>Confidence intervals</topic><topic>Endovascular Procedures</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Prostheses</topic><topic>Retrospective Studies</topic><topic>Statistical methods</topic><topic>Stents</topic><topic>Studies</topic><topic>Success</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saari, Petri</creatorcontrib><creatorcontrib>Biancari, Fausto</creatorcontrib><creatorcontrib>Ihlberg, Leo</creatorcontrib><creatorcontrib>Jaakkola, Pekka</creatorcontrib><creatorcontrib>Nevala, Terhi</creatorcontrib><creatorcontrib>Perälä, Jukka</creatorcontrib><creatorcontrib>Roth, Wolf-Dieter</creatorcontrib><creatorcontrib>Manninen, Hannu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endovascular therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saari, Petri</au><au>Biancari, Fausto</au><au>Ihlberg, Leo</au><au>Jaakkola, Pekka</au><au>Nevala, Terhi</au><au>Perälä, Jukka</au><au>Roth, Wolf-Dieter</au><au>Manninen, Hannu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early and Midterm Outcomes After Endovascular Treatment of Degenerative Aneurysms of the Descending Thoracic Aorta: A Finnish Multicenter Study</atitle><jtitle>Journal of endovascular therapy</jtitle><addtitle>J Endovasc Ther</addtitle><date>2013-06</date><risdate>2013</risdate><volume>20</volume><issue>3</issue><spage>257</spage><epage>264</epage><pages>257-264</pages><issn>1526-6028</issn><eissn>1545-1550</eissn><abstract>Purpose
To evaluate results of endovascular stent-graft placement for aneurysms of
the descending aorta in 3 Finnish university hospitals during
1998–2010.
Methods
Among 158 consecutive patients treated with stent-graft placement for disease
of the descending thoracic aorta, all 69 patients (58 men; mean age 71.7
years, range 54–90) with an aneurysm were included in the analysis.
Medical records, radiological images, and national death records were
collected and analyzed on an intention-to-treat basis.
Results
The 30-day mortality rate was 3.7% in 54 elective patients and
46.7% in 15 urgently treated acute patients. The paraparesis rate was
4.3%, and the major stroke rate was 4.3% after the operation.
There were 4 aneurysm ruptures, all in the urgent group, two of whom had
access failure. The other two died despite seemingly good initial results.
The mean follow-up was 34.8±29 months. Two late ruptures occurred in
patients who were lost to follow-up. In all, 12 type I (10 early, 2 late)
and 1 late type III endoleaks were encountered in the observation
period.
Conclusion
Based on our findings, endovascular treatment of aneurysms of the descending
aorta is relatively safe. To reduce the risk of postoperative complications,
optimal preoperative imaging is mandatory. Postoperative regular imaging
controls are indicated for early detection and prompt treatment of late type
I or III endoleaks and to reduce the risk of late ruptures.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>23731293</pmid><doi>10.1583/12-4203R.1</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of endovascular therapy, 2013-06, Vol.20 (3), p.257-264 |
| issn | 1526-6028 1545-1550 |
| language | eng |
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| source | MEDLINE; SAGE Complete |
| subjects | Aged Aged, 80 and over Aneurysms Aortic Aneurysm, Thoracic - surgery Blood Vessel Prosthesis Confidence intervals Endovascular Procedures Female Hospitalization Hospitals Humans Ischemia Male Medical imaging Middle Aged Mortality Prostheses Retrospective Studies Statistical methods Stents Studies Success Time Factors Treatment Outcome Veins & arteries |
| title | Early and Midterm Outcomes After Endovascular Treatment of Degenerative Aneurysms of the Descending Thoracic Aorta: A Finnish Multicenter Study |
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