Reoperation-free survival in patients subjected to endovascular treatment of diseases of the aorta

Introduction: The endovascular management for diseases of the aorta has increased as an option for patients of high risk for conventional open surgery. The short-term mortality, disease-free and reoperation results, show favourable outcomes compared to open surgery, but there are no results availabl...

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Autores Principales: J., Felipe Casas, M., Jaime Camacho, Pineda, Ivonne, Sandoval, Néstor F., M., Juan P. Umaña, Guerrero, Albert Franz, Obando, Carlos, Cabrales, Jaime Ramón, Echeverry, Darío
Formato: Artículo (Article)
Lenguaje:Español (Spanish)
Publicado: Elsevier B.V. 2019
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Acceso en línea:https://repository.urosario.edu.co/handle/10336/23003
https://doi.org/10.1016/j.rccar.2018.06.003
id ir-10336-23003
recordtype dspace
spelling ir-10336-230032022-05-02T12:37:19Z Reoperation-free survival in patients subjected to endovascular treatment of diseases of the aorta Sobrevida y libertad de reoperación en pacientes sometidos a tratamiento endovascular de enfermedades de la aorta J., Felipe Casas M., Jaime Camacho Pineda, Ivonne Sandoval, Néstor F. M., Juan P. Umaña Guerrero, Albert Franz Obando, Carlos Cabrales, Jaime Ramón Echeverry, Darío Abdominal aorta Aortic disease Aortic reconstruction Article Cohort analysis Follow up Human Major clinical study Reoperation Retrospective study Survival Thoracic aorta Treatment free survival Abdominal aorta Aortic aneurysm Aortic diseases Endovascular procedures Thoracic aorta Introduction: The endovascular management for diseases of the aorta has increased as an option for patients of high risk for conventional open surgery. The short-term mortality, disease-free and reoperation results, show favourable outcomes compared to open surgery, but there are no results available in this country for the medium (1-12 months) and long-term (>1 year). Methods: A bi-directional cohort study, in which the retrospective segment was conducted on patients subjected to endovascular management with an aortic replacement, and the prospective segment on the follow-up of the patients. Results: A total of 194 patients, subjected to endovascular treatment and met the inclusion criteria, were identified between April 2002 and December 2015. The follow-up was completed in 82.2% of cases. There were 92 (56.8%) cases of abdominal aorta with a mean follow-up of 4.9 years (95% range; 2.5-8.9). The calculated survival was 92% at one year, 86% at 2 years, and 66.4% at 5 years. The period free of disease was 88.7% at one year, 86.4% at 2 years, and 78.5% at 10 years, with 13 patients requiring re-operation. There were 67 cases of thoracic aorta, with a mean follow-up of 5.3 years (95% range; 2.9-10.2). The calculated survival was 94% at one year, 90.7% at 2 years, and 75.2% at 5 years. The period free of disease was 88.7% at one year, 86.4% at 2 years, and 78.5% at 10 years, and 9 patients required re-operation. Conclusions: The results obtained are favourable and are encouraging to continue offering the endovascular approach since the re-operation survival is similar to that reported in the literature. © 2018 Sociedad Colombiana de Cardiología y Cirugía Cardiovascular 2019 2020-05-25T23:59:12Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 1205633 https://repository.urosario.edu.co/handle/10336/23003 https://doi.org/10.1016/j.rccar.2018.06.003 spa info:eu-repo/semantics/openAccess application/pdf Elsevier B.V. instname:Universidad del Rosario
institution EdocUR - Universidad del Rosario
collection DSpace
language Español (Spanish)
topic Abdominal aorta
Aortic disease
Aortic reconstruction
Article
Cohort analysis
Follow up
Human
Major clinical study
Reoperation
Retrospective study
Survival
Thoracic aorta
Treatment free survival
Abdominal aorta
Aortic aneurysm
Aortic diseases
Endovascular procedures
Thoracic aorta
spellingShingle Abdominal aorta
Aortic disease
Aortic reconstruction
Article
Cohort analysis
Follow up
Human
Major clinical study
Reoperation
Retrospective study
Survival
Thoracic aorta
Treatment free survival
Abdominal aorta
Aortic aneurysm
Aortic diseases
Endovascular procedures
Thoracic aorta
J., Felipe Casas
M., Jaime Camacho
Pineda, Ivonne
Sandoval, Néstor F.
M., Juan P. Umaña
Guerrero, Albert Franz
Obando, Carlos
Cabrales, Jaime Ramón
Echeverry, Darío
Reoperation-free survival in patients subjected to endovascular treatment of diseases of the aorta
description Introduction: The endovascular management for diseases of the aorta has increased as an option for patients of high risk for conventional open surgery. The short-term mortality, disease-free and reoperation results, show favourable outcomes compared to open surgery, but there are no results available in this country for the medium (1-12 months) and long-term (>1 year). Methods: A bi-directional cohort study, in which the retrospective segment was conducted on patients subjected to endovascular management with an aortic replacement, and the prospective segment on the follow-up of the patients. Results: A total of 194 patients, subjected to endovascular treatment and met the inclusion criteria, were identified between April 2002 and December 2015. The follow-up was completed in 82.2% of cases. There were 92 (56.8%) cases of abdominal aorta with a mean follow-up of 4.9 years (95% range; 2.5-8.9). The calculated survival was 92% at one year, 86% at 2 years, and 66.4% at 5 years. The period free of disease was 88.7% at one year, 86.4% at 2 years, and 78.5% at 10 years, with 13 patients requiring re-operation. There were 67 cases of thoracic aorta, with a mean follow-up of 5.3 years (95% range; 2.9-10.2). The calculated survival was 94% at one year, 90.7% at 2 years, and 75.2% at 5 years. The period free of disease was 88.7% at one year, 86.4% at 2 years, and 78.5% at 10 years, and 9 patients required re-operation. Conclusions: The results obtained are favourable and are encouraging to continue offering the endovascular approach since the re-operation survival is similar to that reported in the literature. © 2018 Sociedad Colombiana de Cardiología y Cirugía Cardiovascular
format Artículo (Article)
author J., Felipe Casas
M., Jaime Camacho
Pineda, Ivonne
Sandoval, Néstor F.
M., Juan P. Umaña
Guerrero, Albert Franz
Obando, Carlos
Cabrales, Jaime Ramón
Echeverry, Darío
author_facet J., Felipe Casas
M., Jaime Camacho
Pineda, Ivonne
Sandoval, Néstor F.
M., Juan P. Umaña
Guerrero, Albert Franz
Obando, Carlos
Cabrales, Jaime Ramón
Echeverry, Darío
author_sort J., Felipe Casas
title Reoperation-free survival in patients subjected to endovascular treatment of diseases of the aorta
title_short Reoperation-free survival in patients subjected to endovascular treatment of diseases of the aorta
title_full Reoperation-free survival in patients subjected to endovascular treatment of diseases of the aorta
title_fullStr Reoperation-free survival in patients subjected to endovascular treatment of diseases of the aorta
title_full_unstemmed Reoperation-free survival in patients subjected to endovascular treatment of diseases of the aorta
title_sort reoperation-free survival in patients subjected to endovascular treatment of diseases of the aorta
publisher Elsevier B.V.
publishDate 2019
url https://repository.urosario.edu.co/handle/10336/23003
https://doi.org/10.1016/j.rccar.2018.06.003
_version_ 1740173079677501440
score 12,131701