We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Systematic Review on In Situ Laser Fenestrated Repair for the Endovascular Management of Aortic Arch Pathologies.
- Authors
Houérou, Thomas Le; Nana, Petroula; Pernot, Mathieu; Guihaire, Julien; Gaudin, Antoine; Lerisson, Erol; Costanzo, Alessandro; Fabre, Dominique; Haulon, Stephan
- Abstract
Background: In situ laser-fenestrated thoracic aortic endovascular repair (FTEVAR) has emerged as a valuable alternative for aortic arch management. This review assessed the early and follow-up outcomes of in situ laser-FTEVAR in aortic arch pathologies. Methods: The PRISMA statement was followed. The English literature was searched, via Ovid, until 15 October 2022. Observational studies, published after 2000, reporting on early and follow-up outcomes for the in situ laser-FTEVAR were eligible. The Newcastle–Ottawa Scale was used to assess the risk of bias. Primary outcomes were the technical success, stroke, and mortality at 30-days, and the secondary were the mortality and reintervention during follow-up. Results: Six retrospective studies from 591 and 247 patients were included. Fifty-nine (23.9%) patients were managed for aortic arch aneurysms and 146 (59.1%) for dissections; 22.6% of them for type A. Technical success was at 98% (range 90–100%). Eight patients died (3.2%) and 11 cases presented any type of stroke (4.5%) during the 30-day follow-up. The mean follow-up was 15 months (1–40 months). Ten deaths were reported (4.2%); one was aortic-related (10%). Thirteen re-interventions (6.0%) were performed. Conclusions: In situ laser-FTEVAR for aortic arch repair may be performed with high technical success and low 30-day and midterm follow-up mortality, stroke, and re-intervention rates when applied in well selected patients and performed by experienced teams.
- Subjects
ENDOVASCULAR aneurysm repair; THORACIC aorta; AORTIC arch aneurysms; STROKE; DEATH rate
- Publication
Journal of Clinical Medicine, 2023, Vol 12, Issue 7, p2496
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm12072496