title: Endovascular aortic repair of thoracic aortic disease: early and 1-year results from a German multicenter registry.
abstract: OBJECTIVE
  To report a "real-world" multicenter experience in the use of thoracic endovascular aortic repair (TEVAR) for diseases of the descending thoracic aorta.
  
  
  METHODS
  A prospective, multicenter, German TEVAR Registry was established in October 2008 and enrolled 191 patients (134 men; mean age 64.5±13.2 years) from 7 hospitals up to March 2011. Stent-graft implantation was performed for Stanford type B aortic dissection (104, 55.3%), true thoracic aortic aneurysm (91, 48.7%), intramural hematoma (20, 10.7%), penetrating aortic ulcer (16, 8.6%), and traumatic aortic rupture (6, 3.2%).
  
  
  RESULTS
  Per patient, a mean of 1.2±0.7 stent-grafts were implanted. Technical success was 92.1% (164/178); 15 (8.5%) endoleaks (types I-III) were reported. Intervention duration was a mean 107±122 minutes. During the hospital stay, stroke occurred in 3.9% of patients (7/180) and paraplegia in 1.7% (3/180). Reintervention was performed in 3.3% (6/180). The mortality was 5.5% (10/181) in-hospital and 5.6% at 30 days. The mean follow-up was 24.5±27.7 months. The Kaplan-Meier estimates of 1-year reintervention and death rates were 7.2% and 11.4%, respectively.
  
  
  CONCLUSIONS
  In this real-world TEVAR registry for acute or chronic descending aortic diseases, technical success was high and the short-term complication rate was acceptable. However, the high reintervention rate observed in the present study mandates thorough clinical and imaging follow-up after an initially successful procedure.
authors.affiliation: Abteilung für Kardiologie, Herzzentrum Ludwigshafen, Germany. erzahn@aol.com
authors.forename: Ralf
authors.initials: R
authors.lastname: Zahn
authors.forename: Raimund
authors.initials: R
authors.lastname: Erbel
authors.forename: Christoph A
authors.initials: CA
authors.lastname: Nienaber
authors.forename: Franz-Josef
authors.initials: FJ
authors.lastname: Neumann
authors.forename: Holger
authors.initials: H
authors.lastname: Nef
authors.forename: Holger
authors.initials: H
authors.lastname: Eggebrecht
authors.forename: Jochen
authors.initials: J
authors.lastname: Senges
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D057510:Endovascular Procedures; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012042:Registries; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult