FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4366607375> ?p ?o ?g. }

• W4366607375 endingPage "66" @default.
• W4366607375 startingPage "58" @default.
• W4366607375 abstract "Objective Reports of endovascular treatment of chronic post-dissection aneurysms are limited to high volumes centres, posing questions about generalisability. Methods All endovascular repairs of intact pararenal and thoraco-abdominal aneurysms in the Vascular Quality Initiative from 2014 to 2021 were studied, and peri-operative and long term outcomes were compared between repairs of degenerative and post-dissection aneurysms. Peri-operative outcomes were compared using mixed effects logistic regression, and long term outcomes using Medicare linkage. Results There were 123 patients who completed treatment for post-dissection aneurysms and 3 635 for degenerative aneurysms, with 36% of post-dissection repairs and 6.7% of degenerative repairs performed in a staged fashion (p < .001). The majority (84%) of post-dissection aneurysms were extensive thoraco-abdominal aneurysms (TAAAs: Crawford Type 1, 2, 3, 5), compared with 22% of degenerative aneurysms (p < .001). Physician modified endografts were the primary repair type for post-dissection (73%), while commercially available fenestrated grafts were the dominant repair for degenerative (48%). The first stage of staged procedures was associated with a 2.8% peri-operative mortality rate, 5.1% spinal cord ischaemia, and 8.9% thoraco-abdominal life altering events (the composite of peri-operative death, stroke, permanent spinal cord ischaemia, and dialysis). Th final stage procedure and fluoroscopy times were similar, but technical success was lower in post-dissection repairs (75% vs. 83%, p = .018), both due to issues with the main endograft or bridging vessels (11% vs. 6.6%, p = .055), and types 1and 3 endoleak at completion (17% vs. 10%, p = .035). In addition, high volume surgeons had two fold higher odds of technical success than their low volume counterparts. Adjusted peri-operative outcomes were similar between pathology types, including when comparisons were restricted to extensive TAAAs. Crude and adjusted three year survival were similar, but three year re-interventions were significantly higher following post-dissection repairs (p < .001). Conclusion Complex endovascular repair of chronic post-dissection aneurysms is feasible but is associated with high rates of re-interventions and non-trivial rates of lack of technical success. More data are needed to evaluate the long term durability of these procedures, and the utility of centralising these complex procedures. Reports of endovascular treatment of chronic post-dissection aneurysms are limited to high volumes centres, posing questions about generalisability. All endovascular repairs of intact pararenal and thoraco-abdominal aneurysms in the Vascular Quality Initiative from 2014 to 2021 were studied, and peri-operative and long term outcomes were compared between repairs of degenerative and post-dissection aneurysms. Peri-operative outcomes were compared using mixed effects logistic regression, and long term outcomes using Medicare linkage. There were 123 patients who completed treatment for post-dissection aneurysms and 3 635 for degenerative aneurysms, with 36% of post-dissection repairs and 6.7% of degenerative repairs performed in a staged fashion (p < .001). The majority (84%) of post-dissection aneurysms were extensive thoraco-abdominal aneurysms (TAAAs: Crawford Type 1, 2, 3, 5), compared with 22% of degenerative aneurysms (p < .001). Physician modified endografts were the primary repair type for post-dissection (73%), while commercially available fenestrated grafts were the dominant repair for degenerative (48%). The first stage of staged procedures was associated with a 2.8% peri-operative mortality rate, 5.1% spinal cord ischaemia, and 8.9% thoraco-abdominal life altering events (the composite of peri-operative death, stroke, permanent spinal cord ischaemia, and dialysis). Th final stage procedure and fluoroscopy times were similar, but technical success was lower in post-dissection repairs (75% vs. 83%, p = .018), both due to issues with the main endograft or bridging vessels (11% vs. 6.6%, p = .055), and types 1and 3 endoleak at completion (17% vs. 10%, p = .035). In addition, high volume surgeons had two fold higher odds of technical success than their low volume counterparts. Adjusted peri-operative outcomes were similar between pathology types, including when comparisons were restricted to extensive TAAAs. Crude and adjusted three year survival were similar, but three year re-interventions were significantly higher following post-dissection repairs (p < .001). Complex endovascular repair of chronic post-dissection aneurysms is feasible but is associated with high rates of re-interventions and non-trivial rates of lack of technical success. More data are needed to evaluate the long term durability of these procedures, and the utility of centralising these complex procedures." @default.
• W4366607375 created "2023-04-23" @default.
• W4366607375 creator A5011198498 @default.
• W4366607375 creator A5026130811 @default.
• W4366607375 creator A5042271093 @default.
• W4366607375 creator A5043383232 @default.
• W4366607375 creator A5052472319 @default.
• W4366607375 creator A5056087166 @default.
• W4366607375 creator A5056335297 @default.
• W4366607375 creator A5061104886 @default.
• W4366607375 creator A5083942832 @default.
• W4366607375 creator A5088065626 @default.
• W4366607375 date "2023-07-01" @default.
• W4366607375 modified "2023-10-17" @default.
• W4366607375 title "Outcomes of Complex Endovascular Treatment of Post-Dissection Aneurysms" @default.
• W4366607375 cites W113547528 @default.
• W4366607375 cites W1993563248 @default.
• W4366607375 cites W2017800026 @default.
• W4366607375 cites W2028430008 @default.
• W4366607375 cites W2042323321 @default.
• W4366607375 cites W2043412210 @default.
• W4366607375 cites W2043576467 @default.
• W4366607375 cites W2078725347 @default.
• W4366607375 cites W2087926073 @default.
• W4366607375 cites W2093204760 @default.
• W4366607375 cites W2135777343 @default.
• W4366607375 cites W2139937737 @default.
• W4366607375 cites W2141307191 @default.
• W4366607375 cites W2171546308 @default.
• W4366607375 cites W2239834582 @default.
• W4366607375 cites W2266731173 @default.
• W4366607375 cites W2408455452 @default.
• W4366607375 cites W2588390461 @default.
• W4366607375 cites W2748955936 @default.
• W4366607375 cites W2769437235 @default.
• W4366607375 cites W2774893976 @default.
• W4366607375 cites W2778091236 @default.
• W4366607375 cites W2792710678 @default.
• W4366607375 cites W2794486098 @default.
• W4366607375 cites W2883421115 @default.
• W4366607375 cites W2887436841 @default.
• W4366607375 cites W2889405033 @default.
• W4366607375 cites W2898709349 @default.
• W4366607375 cites W2900530883 @default.
• W4366607375 cites W2901442693 @default.
• W4366607375 cites W2906611292 @default.
• W4366607375 cites W2908293378 @default.
• W4366607375 cites W2912031837 @default.
• W4366607375 cites W2990567947 @default.
• W4366607375 cites W2993483664 @default.
• W4366607375 cites W2994819299 @default.
• W4366607375 cites W2997338152 @default.
• W4366607375 cites W3030385329 @default.
• W4366607375 cites W3037104672 @default.
• W4366607375 cites W3043221361 @default.
• W4366607375 cites W3093225067 @default.
• W4366607375 cites W3110062459 @default.
• W4366607375 cites W3209272617 @default.
• W4366607375 cites W3214740777 @default.
• W4366607375 cites W4200463725 @default.
• W4366607375 cites W4214650034 @default.
• W4366607375 cites W4214913815 @default.
• W4366607375 cites W4226074155 @default.
• W4366607375 cites W4250200738 @default.
• W4366607375 cites W4280619411 @default.
• W4366607375 doi "https://doi.org/10.1016/j.ejvs.2023.04.013" @default.
• W4366607375 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37087065" @default.
• W4366607375 hasPublicationYear "2023" @default.
• W4366607375 type Work @default.
• W4366607375 citedByCount "1" @default.
• W4366607375 countsByYear W43666073752023 @default.
• W4366607375 crossrefType "journal-article" @default.
• W4366607375 hasAuthorship W4366607375A5011198498 @default.
• W4366607375 hasAuthorship W4366607375A5026130811 @default.
• W4366607375 hasAuthorship W4366607375A5042271093 @default.
• W4366607375 hasAuthorship W4366607375A5043383232 @default.
• W4366607375 hasAuthorship W4366607375A5052472319 @default.
• W4366607375 hasAuthorship W4366607375A5056087166 @default.
• W4366607375 hasAuthorship W4366607375A5056335297 @default.
• W4366607375 hasAuthorship W4366607375A5061104886 @default.
• W4366607375 hasAuthorship W4366607375A5083942832 @default.
• W4366607375 hasAuthorship W4366607375A5088065626 @default.
• W4366607375 hasConcept C126838900 @default.
• W4366607375 hasConcept C141071460 @default.
• W4366607375 hasConcept C2775862295 @default.
• W4366607375 hasConcept C2776098176 @default.
• W4366607375 hasConcept C71924100 @default.
• W4366607375 hasConceptScore W4366607375C126838900 @default.
• W4366607375 hasConceptScore W4366607375C141071460 @default.
• W4366607375 hasConceptScore W4366607375C2775862295 @default.
• W4366607375 hasConceptScore W4366607375C2776098176 @default.
• W4366607375 hasConceptScore W4366607375C71924100 @default.
• W4366607375 hasFunder F4320332161 @default.
• W4366607375 hasFunder F4320332177 @default.
• W4366607375 hasIssue "1" @default.
• W4366607375 hasLocation W43666073751 @default.
• W4366607375 hasLocation W43666073752 @default.
• W4366607375 hasOpenAccess W4366607375 @default.

• next