Universität zu Köln

Czerny, Martin ORCID: 0000-0003-4766-9775, Eggebrecht, Holger, Rousseau, Herve, Mouroz, Paul Revel, Janosi, Rolf-Alexander, Lescan, Mario, Schlensak, Christian, Boeckler, Dittmar, Ante, Marius, Weijde, Emma Vdr, Heijmen, Robin, Eckstein, Hans Henning, Reutersberg, Benedikt ORCID: 0000-0002-9286-8223, Trimarchi, Santi, Schmidli, Juerg, Wyss, Thomas ORCID: 0000-0002-9679-4938, Frey, Romina, Makaloski, Vladimir, Brunkwall, Jan, Mylonas, Spyridon, Szeberin, Zoltan, Klocker, Josef, Gottardi, Roman ORCID: 0000-0001-9716-3655, Schusterova, Ingrid, Morlock, Julia, Berger, Tim ORCID: 0000-0001-6263-9123, Beyersdorf, Friedhelm and Rylski, Bartosz (2020). Distal Stent Graft-Induced New Entry After TEVAR or FET: Insights Into a New Disease From EuREC. Ann. Thorac. Surg., 110 (5). S. 1494 - 1501. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1552-6259

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Abstract

Background. The study sought to learn about incidence and reasons for distal stent graft-induced new entry (dSINE) after thoracic endovascular aortic repair (TEVAR) or after frozen elephant trunk (FET) implantation, and develop prevention algorithms. Methods. In an analysis of an international multicenter registry (EuREC [European Registry of Endovascular Aortic Repair Complications] registry), we found 69 dSINE patients of 1430 (4.8%) TEVAR patients with type B aortic dissection and 6 dSINE patients of 100 (6%) patients after the FET procedure for aortic dissection with secondary morphological comparison. Results. The underlying aortic pathology was acute type B aortic dissection in 33 (44%) patients, subacute or chronic type B aortic dissection in 34 (45%) patients, acute type A aortic dissection in 3 patients and remaining dissection after type A repair in 3 (8%) patients, and acute type B intramural hematoma in 2 (3%) patients. dSINE occurred in 4.4% of patients in the acute setting and in 4.9% of patients in the subacute or chronic setting after TEVAR. After the FET procedure, dSINE occurred in 5.3% of patients in the acute setting and in 6.5% of patients in the chronic setting. The interval between TEVAR or FET and the diagnosis of dSINE was 489 +/- 681 days. Follow-up after dSINE was 1340 +/- 1151 days, and 4 (5%) patients developed recurrence of dSINE. Morphological analysis between patients after TEVAR with and without dSINE showed a smaller true lumen diameter, a more accentuated oval true lumen morphology, and a higher degree of stent graft oversizing in patients who developed dSINE. Conclusions. dSINE after TEVAR or FET is not rare and occurs with similar incidence after acute and chronic aortic dissection (early and late). Avoiding oversizing in the acute and chronic settings as well as carefully selecting patients for TEVAR in postdissection aneurysmal formation will aid in reducing the incidence of dSINE to a minimum. (C) 2020 by The Society of Thoracic Surgeons

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Czerny, Martin UNSPECIFIED orcid.org/0000-0003-4766-9775 UNSPECIFIED Eggebrecht, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED Rousseau, Herve UNSPECIFIED UNSPECIFIED UNSPECIFIED Mouroz, Paul Revel UNSPECIFIED UNSPECIFIED UNSPECIFIED Janosi, Rolf-Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Lescan, Mario UNSPECIFIED UNSPECIFIED UNSPECIFIED Schlensak, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Boeckler, Dittmar UNSPECIFIED UNSPECIFIED UNSPECIFIED Ante, Marius UNSPECIFIED UNSPECIFIED UNSPECIFIED Weijde, Emma Vdr UNSPECIFIED UNSPECIFIED UNSPECIFIED Heijmen, Robin UNSPECIFIED UNSPECIFIED UNSPECIFIED Eckstein, Hans Henning UNSPECIFIED UNSPECIFIED UNSPECIFIED Reutersberg, Benedikt UNSPECIFIED orcid.org/0000-0002-9286-8223 UNSPECIFIED Trimarchi, Santi UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmidli, Juerg UNSPECIFIED UNSPECIFIED UNSPECIFIED Wyss, Thomas UNSPECIFIED orcid.org/0000-0002-9679-4938 UNSPECIFIED Frey, Romina UNSPECIFIED UNSPECIFIED UNSPECIFIED Makaloski, Vladimir UNSPECIFIED UNSPECIFIED UNSPECIFIED Brunkwall, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Mylonas, Spyridon UNSPECIFIED UNSPECIFIED UNSPECIFIED Szeberin, Zoltan UNSPECIFIED UNSPECIFIED UNSPECIFIED Klocker, Josef UNSPECIFIED UNSPECIFIED UNSPECIFIED Gottardi, Roman UNSPECIFIED orcid.org/0000-0001-9716-3655 UNSPECIFIED Schusterova, Ingrid UNSPECIFIED UNSPECIFIED UNSPECIFIED Morlock, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Berger, Tim UNSPECIFIED orcid.org/0000-0001-6263-9123 UNSPECIFIED Beyersdorf, Friedhelm UNSPECIFIED UNSPECIFIED UNSPECIFIED Rylski, Bartosz UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-313593
DOI:	10.1016/j.athoracsur.2020.02.079
Journal or Publication Title:	Ann. Thorac. Surg.
Volume:	110
Number:	5
Page Range:	S. 1494 - 1501
Date:	2020
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1552-6259
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language B AORTIC DISSECTION; ELEPHANT TRUNK TECHNIQUE; ENDOVASCULAR REPAIR; DOWNSTREAM AORTA; DIAMETER; REPLACEMENT; SURGERY; LUMEN Multiple languages Cardiac & Cardiovascular Systems; Respiratory System; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31359