Online-Ressource | |
Verfasst von: | Geisbüsch, Philipp [VerfasserIn] |
Skrypnik, Denis [VerfasserIn] | |
Ante, Marius [VerfasserIn] | |
Trojan, Michael [VerfasserIn] | |
Bruckner, Thomas [VerfasserIn] | |
Rengier, Fabian [VerfasserIn] | |
Böckler, Dittmar [VerfasserIn] | |
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 |