OBJECTIVES: To evaluate the results of open surgery or endovascular stent graft repair of descending thoracic aortic aneurysm (TAA). DESIGN, MATERIALS AND METHODS: This is a retrospective multicenter study of 95 patients undergoing TAA repair (42 stent grafts, 53 open repair). The median age was 67 years. Post-operative complications, mid-term survival and costs were assessed. The results were pooled with data in the literature. RESULTS: After a mean follow up of 26 months (open group) and 15 months (endovascular group) survival was similar for patients treated by either repair method. Post-operative pneumonia was more in the open group (p <0.02). The hospital costs of open treatment were 40% more than that of the endovascular procedure. Combining the present results with pooled data from the literature the peri-operative mortality and paraplegia rate was less in the endovascular group (p <0.05). CONCLUSIONS: These retrospective data suggest that endografting of descending thoracic aneurysms can be performed with less peri-operative morbidity, at lower hospital costs, but with equal mid-term life expectancy, compared with open grafting.
OBJECTIVES: To evaluate the results of open surgery or endovascular stent graft repair of descending thoracic aortic aneurysm (TAA). DESIGN, MATERIALS AND METHODS: This is a retrospective multicenter study of 95 patients undergoing TAA repair (42 stent grafts, 53 open repair). The median age was 67 years. Post-operative complications, mid-term survival and costs were assessed. The results were pooled with data in the literature. RESULTS: After a mean follow up of 26 months (open group) and 15 months (endovascular group) survival was similar for patients treated by either repair method. Post-operative pneumonia was more in the open group (p <0.02). The hospital costs of open treatment were 40% more than that of the endovascular procedure. Combining the present results with pooled data from the literature the peri-operative mortality and paraplegia rate was less in the endovascular group (p <0.05). CONCLUSIONS: These retrospective data suggest that endografting of descending thoracic aneurysms can be performed with less peri-operative morbidity, at lower hospital costs, but with equal mid-term life expectancy, compared with open grafting.
Authors: John A Kern; Alan H Matsumoto; Curtis G Tribble; Leo M Gazoni; Benjamin B Peeler; Nancy L Harthun; Tae Chong; Kenneth J Cherry; Michael D Dake; John S Angle; Irving L Kron Journal: Ann Surg Date: 2006-06 Impact factor: 12.969
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Authors: George J Arnaoutakis; John A Hundt; Ashish S Shah; Duke E Cameron; James H Black Journal: Vasc Endovascular Surg Date: 2010-09-09 Impact factor: 1.089
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