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Status: Bibliographieeintrag

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Verfasst von:Geisbüsch, Philipp [VerfasserIn]   i
 Skrypnik, Denis [VerfasserIn]   i
 Ante, Marius [VerfasserIn]   i
 Trojan, Michael [VerfasserIn]   i
 Bruckner, Thomas [VerfasserIn]   i
 Rengier, Fabian [VerfasserIn]   i
 Böckler, Dittmar [VerfasserIn]   i
Titel:Endograft migration after thoracic endovascular aortic repair
Verf.angabe:Philipp Geisbüsch, Denis Skrypnik, Marius Ante, Michael Trojan, Tom Bruckner, Fabian Rengier, Dittmar Böckler
Jahr:2019
Umfang:8 S.
Fussnoten:Gesehen am 21.05.2019
Titel Quelle:Enthalten in: Journal of vascular surgery
Ort Quelle:Amsterdam [u.a.] : Elsevier, 1984
Jahr Quelle:2019
Band/Heft Quelle:69(2019), 5, Seite 1387-1394
ISSN Quelle:1097-6809
Abstract:Objective - The objective of this study was to evaluate the incidence, timing, and potential risk factors of late endograft migration after thoracic endovascular aortic repair (TEVAR). - Methods - A retrospective analysis was conducted of 123 patients receiving TEVAR for thoracic aortic aneurysms (TAAs), dissections, penetrating aortic ulcer, intramural hematoma, or traumatic transection between January 2005 and December 2015 with a minimum imaging-based follow-up of 6 months. Imaging analysis was performed by three independent readers. Migration was defined according to the reporting standards as a stent graft shift of >10 mm relative to a primary anatomic landmark or any displacement that led to symptoms or required therapy. A standardized measurement protocol in accordance with the reporting guidelines was used. Median follow-up was 3 years (range, 0.5-10 years). - Results - Migration occurred in nine (7.3%) patients and took place at the proximal landing zone (n = 1), overlapping zone (n = 4), or distal landing zone (n = 5), resulting in type I or type III endoleaks in 44% (n = 4/9) of the cases. All cases of migration with endoleaks underwent reintervention; 75% (n = 3/4) of the migration associated with endoleaks could have been identified on previous imaging before an endoleak occurred. Freedom from migration was 99.1% after 1 year, 94.0% after 3 years, and 86.1% after 5 years. Aortic elongation and TAA were identified as predisposing factors for migration (P = .003 and P = .01, respectively). No influence of the proximal landing zone (zone 0-4), type of aortic arch (I-III), or type of endograft on the incidence of migration was found. - Conclusions - Graft migration after TEVAR occurs in a relevant proportion of patients, predominantly in patients with TAA and aortic elongation. Follow-up imaging of these patients should be specifically evaluated regarding the occurrence of migration.
DOI:doi:10.1016/j.jvs.2018.07.073
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.jvs.2018.07.073
 Volltext: http://www.sciencedirect.com/science/article/pii/S0741521418321414
 DOI: https://doi.org/10.1016/j.jvs.2018.07.073
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Endograft dislocation
 Migration
 TEVAR
 TEVAR complications
 Thoracic aorta endograft migration
K10plus-PPN:1666019372
Verknüpfungen:→ Zeitschrift

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