Thoracic endovascular aortic repair: a local single institution experience.
- Author:
Wee Thong NEO
1
;
Uei PUA
;
Daniel Es WONG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Aorta, Thoracic; surgery; Aortic Diseases; mortality; surgery; Endovascular Procedures; adverse effects; mortality; Female; Humans; Length of Stay; Male; Middle Aged; Postoperative Complications; etiology; Retrospective Studies; Young Adult
- From:Annals of the Academy of Medicine, Singapore 2011;40(9):414-417
- CountrySingapore
- Language:English
-
Abstract:
INTRODUCTIONThe purpose of this retrospective study was to evaluate the short- to mid-term results of the endovascular repair of thoracic aortic disease and to present an overview of our experience with thoracic endovascular aortic repair (TEVAR) in our institution.
MATERIALS AND METHODSA retrospective review of all patients who were treated and underwent TEVAR in our institution between August 2004 and November 2009 was conducted.
RESULTSTechnical success was achieved in 100% of the patients and the 30-day mortality rate was 0%. Perioperative endoleak was visualised at the end of the procedure in 4 patients. Secondary endoleak was observed in 2 patients. Mean hospital length of stay post-TEVAR was 15.4 days. Postoperative major complications were observed in 4 patients. The 30-day mortality rate was 0%, with 2 mortalities (11.1%) during the followup period.
CONCLUSIONThis study adds to the growing body of literature that support TEVAR as an effective procedure in the management of thoracic aortic diseases and reflects its feasibility in our population. Further technical advancement in stent grafts, careful selection of patients and standardised peri-procedural care would contribute to further improvements in clinical outcomes.
