title: Thoracic endovascular aortic repair in 300 patients: long-term results.
abstract: BACKGROUND
  The aim of this analysis was to assess short and mid-term results of patients undergoing thoracic endovascular aortic repair (TEVAR) for 4 different indications.
  
  
  METHODS
  From 1996 to 2010, 300 patients (80 female, 220 male, median age 67 years [20 to 88]) underwent TEVAR at our department. Among them were 137 descending thoracic aneurysms (DTA), 80 type B dissections (60 acute, 20 chronic), 59 perforating aortic ulcer (PAU), and 24 traumatic aortic transections (ATAT). Hospital mortality and mid-term survival among different indications for TEVAR were evaluated.
  
  
  RESULTS
  Overall hospital mortality in our series was 5% (n = 15). Seven patients with DTA (5%), 4 patients with type B dissections (5%), 2 patients with PAU (3.4%), and 2 ATAT (8%) patients died during their hospital stay. Kaplan-Meier survival analysis revealed significant differences in survival rates according to the various indications for TEVAR (p < 0.001). Overall long-term mortality was 86%, 63%, and 44% at 1, 5, and 10 years. Early and late endoleak rate was 18% and 8%, respectively.
  
  
  CONCLUSIONS
  The TEVAR has evolved into a safe and effective therapy for different aortic pathology resulting in promising long-term results. Nevertheless, the indication for TEVAR has direct impact on the success of the procedure. Patients with acute type B aortic dissections and acute traumatic aortic lesions seem to benefit the most from TEVAR.
authors.affiliation: Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria. dominik.wiedemann@meduniwien.ac.at
authors.forename: Dominik
authors.initials: D
authors.lastname: Wiedemann
authors.forename: Stephane
authors.initials: S
authors.lastname: Mahr
authors.forename: Amit
authors.initials: A
authors.lastname: Vadehra
authors.forename: Maria
authors.initials: M
authors.lastname: Schoder
authors.forename: Martin
authors.initials: M
authors.lastname: Funovics
authors.forename: Christian
authors.initials: C
authors.lastname: Löwe
authors.forename: Christina
authors.initials: C
authors.lastname: Plank
authors.forename: Johannes
authors.initials: J
authors.lastname: Lammer
authors.forename: Günther
authors.initials: G
authors.lastname: Laufer
authors.forename: Marie-Elisabeth
authors.initials: ME
authors.lastname: Stelzmüller
authors.forename: Alfred
authors.initials: A
authors.lastname: Kocher
authors.forename: Marek P
authors.initials: MP
authors.lastname: Ehrlich
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000401:mortality / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000401:mortality / Q000601:surgery; D057510:Endovascular Procedures / Q000401:mortality*; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors