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Thoracic endovascular aortic repair practice in 13 countries: A report from VASCUNET and the International Consortium of Vascular Registries

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Thoracic endovascular aortic repair practice in 13 countries: A report from VASCUNET and the International Consortium of Vascular Registries. / Hellgren, Tina; Beck, Adam W; Behrendt, Christian-Alexander; Becker, Daniel; Beiles, Barry; Boyle, Jonathan R; Jormalainen, Mikko; Koncar, Igor; Espada, Cristina Lopez; Setacci, Carlo; Settembre, Nicla; Sutzko, Danielle C; Szeberin, Zoltan; Thomson, Ian; Venermo, Maarit; Mani, Kevin.

In: ANN SURG, Vol. 276, No. 5, 01.11.2022, p. e598-e604.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Hellgren, T, Beck, AW, Behrendt, C-A, Becker, D, Beiles, B, Boyle, JR, Jormalainen, M, Koncar, I, Espada, CL, Setacci, C, Settembre, N, Sutzko, DC, Szeberin, Z, Thomson, I, Venermo, M & Mani, K 2022, 'Thoracic endovascular aortic repair practice in 13 countries: A report from VASCUNET and the International Consortium of Vascular Registries', ANN SURG, vol. 276, no. 5, pp. e598-e604. https://doi.org/10.1097/SLA.0000000000004561

APA

Hellgren, T., Beck, A. W., Behrendt, C-A., Becker, D., Beiles, B., Boyle, J. R., Jormalainen, M., Koncar, I., Espada, C. L., Setacci, C., Settembre, N., Sutzko, D. C., Szeberin, Z., Thomson, I., Venermo, M., & Mani, K. (2022). Thoracic endovascular aortic repair practice in 13 countries: A report from VASCUNET and the International Consortium of Vascular Registries. ANN SURG, 276(5), e598-e604. https://doi.org/10.1097/SLA.0000000000004561

Vancouver

Hellgren T, Beck AW, Behrendt C-A, Becker D, Beiles B, Boyle JR et al. Thoracic endovascular aortic repair practice in 13 countries: A report from VASCUNET and the International Consortium of Vascular Registries. ANN SURG. 2022 Nov 1;276(5):e598-e604. https://doi.org/10.1097/SLA.0000000000004561

Bibtex

@article{da52c781c1e84190aeccf0ae537babeb,
title = "Thoracic endovascular aortic repair practice in 13 countries: A report from VASCUNET and the International Consortium of Vascular Registries",
abstract = "OBJECTIVE: To assess practice patterns and short-term outcome after thoracic endovascular aortic repair (TEVAR), based on an international vascular registry collaboration.SUMMARY BACKGROUND DATA: TEVAR has become the primary surgical treatment modality for descending aortic pathologies, and has expanded to new patient cohorts, including the elderly.METHODS: Data on thoracic aortic aneurysms (TAA), type B aortic dissections (TBAD), and traumatic aortic injuries (TAI) treated with TEVAR from 2012 to 2016 were retrieved from registries and centers in 13 countries.RESULTS: Nine-thousand five-hundred eighteen TEVAR for TAA ( n = 4436), TBAD ( n = 3976) and TAI ( n = 1106) were included. The distribution of TEVAR procedures per pathology varied, with TAA repair constituting from 40% of TEVARs in the US to 72% in the UK ( P < 0.001).Mean intact TAA (iTAA) diameter varied from 59 (US) to 69 mm (Nancy, France) ( P < 0.001), 25.3% of patients having a diameter of <60 mm. Perioperative mortality after iTAA repair was 4.9%; combined mortality, stroke, paraplegia, and renal replacement therapy outcome was 12.8%. 18.6% of iTAA patients were ≥80 years old. Mortality was higher in this group (7.2%) than in patients <80 (3.8%) ( P < 0.001). After rTAA repair, perioperative mortality was 26.8%.Mortality was 9.7% after acute (within 14 days from onset of dissection) and 3.0% after chronic TBAD repair ( P < 0.001). Mortality after TAI was 7.8%, and depended on injury severity (grade IV (free rupture) 20.9%).CONCLUSIONS: This registry collaboration provides a unique platform to evaluate cross-border patterns of use and outcomes of TEVAR. A common core dataset is proposed, to achieve harmonization of registry-based quality outcome measures for TEVAR.",
author = "Tina Hellgren and Beck, {Adam W} and Christian-Alexander Behrendt and Daniel Becker and Barry Beiles and Boyle, {Jonathan R} and Mikko Jormalainen and Igor Koncar and Espada, {Cristina Lopez} and Carlo Setacci and Nicla Settembre and Sutzko, {Danielle C} and Zoltan Szeberin and Ian Thomson and Maarit Venermo and Kevin Mani",
year = "2022",
month = nov,
day = "1",
doi = "10.1097/SLA.0000000000004561",
language = "English",
volume = "276",
pages = "e598--e604",
journal = "ANN SURG",
issn = "0003-4932",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

RIS

TY - JOUR

T1 - Thoracic endovascular aortic repair practice in 13 countries: A report from VASCUNET and the International Consortium of Vascular Registries

AU - Hellgren, Tina

AU - Beck, Adam W

AU - Behrendt, Christian-Alexander

AU - Becker, Daniel

AU - Beiles, Barry

AU - Boyle, Jonathan R

AU - Jormalainen, Mikko

AU - Koncar, Igor

AU - Espada, Cristina Lopez

AU - Setacci, Carlo

AU - Settembre, Nicla

AU - Sutzko, Danielle C

AU - Szeberin, Zoltan

AU - Thomson, Ian

AU - Venermo, Maarit

AU - Mani, Kevin

PY - 2022/11/1

Y1 - 2022/11/1

N2 - OBJECTIVE: To assess practice patterns and short-term outcome after thoracic endovascular aortic repair (TEVAR), based on an international vascular registry collaboration.SUMMARY BACKGROUND DATA: TEVAR has become the primary surgical treatment modality for descending aortic pathologies, and has expanded to new patient cohorts, including the elderly.METHODS: Data on thoracic aortic aneurysms (TAA), type B aortic dissections (TBAD), and traumatic aortic injuries (TAI) treated with TEVAR from 2012 to 2016 were retrieved from registries and centers in 13 countries.RESULTS: Nine-thousand five-hundred eighteen TEVAR for TAA ( n = 4436), TBAD ( n = 3976) and TAI ( n = 1106) were included. The distribution of TEVAR procedures per pathology varied, with TAA repair constituting from 40% of TEVARs in the US to 72% in the UK ( P < 0.001).Mean intact TAA (iTAA) diameter varied from 59 (US) to 69 mm (Nancy, France) ( P < 0.001), 25.3% of patients having a diameter of <60 mm. Perioperative mortality after iTAA repair was 4.9%; combined mortality, stroke, paraplegia, and renal replacement therapy outcome was 12.8%. 18.6% of iTAA patients were ≥80 years old. Mortality was higher in this group (7.2%) than in patients <80 (3.8%) ( P < 0.001). After rTAA repair, perioperative mortality was 26.8%.Mortality was 9.7% after acute (within 14 days from onset of dissection) and 3.0% after chronic TBAD repair ( P < 0.001). Mortality after TAI was 7.8%, and depended on injury severity (grade IV (free rupture) 20.9%).CONCLUSIONS: This registry collaboration provides a unique platform to evaluate cross-border patterns of use and outcomes of TEVAR. A common core dataset is proposed, to achieve harmonization of registry-based quality outcome measures for TEVAR.

AB - OBJECTIVE: To assess practice patterns and short-term outcome after thoracic endovascular aortic repair (TEVAR), based on an international vascular registry collaboration.SUMMARY BACKGROUND DATA: TEVAR has become the primary surgical treatment modality for descending aortic pathologies, and has expanded to new patient cohorts, including the elderly.METHODS: Data on thoracic aortic aneurysms (TAA), type B aortic dissections (TBAD), and traumatic aortic injuries (TAI) treated with TEVAR from 2012 to 2016 were retrieved from registries and centers in 13 countries.RESULTS: Nine-thousand five-hundred eighteen TEVAR for TAA ( n = 4436), TBAD ( n = 3976) and TAI ( n = 1106) were included. The distribution of TEVAR procedures per pathology varied, with TAA repair constituting from 40% of TEVARs in the US to 72% in the UK ( P < 0.001).Mean intact TAA (iTAA) diameter varied from 59 (US) to 69 mm (Nancy, France) ( P < 0.001), 25.3% of patients having a diameter of <60 mm. Perioperative mortality after iTAA repair was 4.9%; combined mortality, stroke, paraplegia, and renal replacement therapy outcome was 12.8%. 18.6% of iTAA patients were ≥80 years old. Mortality was higher in this group (7.2%) than in patients <80 (3.8%) ( P < 0.001). After rTAA repair, perioperative mortality was 26.8%.Mortality was 9.7% after acute (within 14 days from onset of dissection) and 3.0% after chronic TBAD repair ( P < 0.001). Mortality after TAI was 7.8%, and depended on injury severity (grade IV (free rupture) 20.9%).CONCLUSIONS: This registry collaboration provides a unique platform to evaluate cross-border patterns of use and outcomes of TEVAR. A common core dataset is proposed, to achieve harmonization of registry-based quality outcome measures for TEVAR.

U2 - 10.1097/SLA.0000000000004561

DO - 10.1097/SLA.0000000000004561

M3 - SCORING: Journal article

C2 - 33214448

VL - 276

SP - e598-e604

JO - ANN SURG

JF - ANN SURG

SN - 0003-4932

IS - 5

ER -