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Acheampong DO, Paul P, Boateng P, et al. Predictors and Outcomes of Cardiac Events following Thoracic Endovascular Aortic Repair in Descending Thoracic Aortic Aneurysm and Dissection. Aorta (Stamford). 2020;8(1):6-13doi: 10.1055/s-0040-1701606.
Acheampong, D. O., Paul, P., Boateng, P., & Leitman, I. M. (2020). Predictors and Outcomes of Cardiac Events following Thoracic Endovascular Aortic Repair in Descending Thoracic Aortic Aneurysm and Dissection. Aorta (Stamford, Conn.), 8(1), 6-13. https://doi.org/10.1055/s-0040-1701606
Acheampong, Derrick O, et al. "Predictors and Outcomes of Cardiac Events following Thoracic Endovascular Aortic Repair in Descending Thoracic Aortic Aneurysm and Dissection." Aorta (Stamford, Conn.) vol. 8,1 (2020): 6-13. doi: https://doi.org/10.1055/s-0040-1701606
Acheampong DO, Paul P, Boateng P, Leitman IM. Predictors and Outcomes of Cardiac Events following Thoracic Endovascular Aortic Repair in Descending Thoracic Aortic Aneurysm and Dissection. Aorta (Stamford). 2020 Feb;8(1):6-13. doi: 10.1055/s-0040-1701606. Epub 2020 Jun 29. PMID: 32599627; PMCID: PMC7324254.
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Aorta (Stamford). 2020 Feb;8(1):6-13. doi: 10.1055/s-0040-1701606. Epub 2020 Jun 29.

Predictors and Outcomes of Cardiac Events following Thoracic Endovascular Aortic Repair in Descending Thoracic Aortic Aneurysm and Dissection.

Aorta (Stamford, Conn.)

Derrick O Acheampong, Philip Paul, Percy Boateng, I Michael Leitman

Affiliations

  1. Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.

PMID: 32599627 PMCID: PMC7324254 DOI: 10.1055/s-0040-1701606

Abstract

BACKGROUND:  Cardiac events following thoracic endovascular aortic repair (TEVAR) have been associated with significant morbidity and mortality. However, predictors of post-TEVAR cardiac events in descending thoracic aortic aneurysm or dissection are poorly understood.

METHODS:  A retrospective analysis of completed TEVAR procedures performed from 2010 to 2016 was conducted using the ACS-NSQIP (American College of Surgeons National Surgical Quality Improvement Program) participant user file database. Adult patients (≥18 years) who underwent TEVAR for descending thoracic aortic aneurysm or dissection were identified and 30-day outcomes were examined. An initial univariate analysis was performed to determine associations between all patient variables and cardiac events, defined as myocardial infarction or cardiac arrest that occurred ≤30 days of surgery. Multivariate logistic regression was subsequently performed to identify independent risk factors for cardiac events following TEVAR.

RESULTS:  The study identified 150 out of 2,905 (5.2%) patients who underwent TEVAR for descending thoracic aortic aneurysm or dissection who developed cardiac events. No significant difference in incidence of cardiac events was noted among patients presenting with aortic aneurysm or dissection (

CONCLUSIONS:  Cardiac events following TEVAR are associated with significant mortality. Patients with these risk factors should be appropriately monitored to improve outcomes.

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Conflict of interest statement

The authors declare no conflict of interest related to this article.

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