Risk factors of postoperative complications after fenestrated /branched TEVAR for aortic arch lesions: a multicenter retrospective analysis
10.3760/cma.j.cn113855-20231231-00462
- VernacularTitle:开窗-分支胸主动脉腔内修复术治疗主动脉弓部病变术后并发症危险因素的多中心回顾性研究
- Author:
Yuexue HAN
1
;
Zhao LIU
;
Chen LIU
;
Wendong LI
;
Nan HU
;
Jianhang HU
;
Yu ZHOU
;
Jianfeng DUAN
;
Lili SUN
;
Hao YU
;
Yiming SU
;
Zhengdong HUA
;
Zhidan CHEN
;
Zhaohui HUA
;
Xiaoqiang LI
Author Information
1. 南京大学医学院附属鼓楼医院血管外科，南京 210008
- Keywords:
Aortic diseases;
Stents;
Complications;
Fenestrated /branched endovascular repair
- From:
Chinese Journal of General Surgery
2024;39(9):667-672
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To review the risk factors for early and medium-term complications of fenestration-branch endovascular thoracic aortic repair (F/B-TEVAR) in patients with complex aortic arch disease.Methods:The clinical and follow-up data of 202 patients undergoing F/B-TEVAR treatment from Feb 2019 to Sep 2023 in these centers were retrospectively analyzed .Results:There were 46 cases suffering from postoperative complications (22.8%). The risk factors with statistical significance included aortic atherosclerotic plaque [ OR=2.843; 95% CI (1.4-5.6); P<0.01], aortic intramural thrombosis [ OR=2.358; 95% CI (1.2-4.6), P=0.011], the aortic dilatation [ OR=4.219; 95% CI (1.6-11.3), P<0.01], the history of stroke [ OR=2.088; 95% CI (1.1-4.1), P=0.032], smoking history [ OR=2.680; 95% CI: (1.3-5.5); P<0.01], duration of surgery [ OR=1.9; 95% CI: (1.2-2.9); P=0.042].While the application of 3D printing assistive technology [ OR=0.392; 95% CI: (0.2-0.9); P=0.048] was in a negative correlation with postoperative complication. Conclusions:The independent risk factors for complications after F/B-TVAR included aortic atherosclerotic plaque, aortic intramural thrombosis, the aortic dilatation, the history of stroke, smoking history,duration of surgery.The application of 3D printing technology can effectively reduce the complication rate.
