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Systematic Review of Reintervention After Thoracic Endovascular Repair for Chronic Type B Dissection
Mourad Boufi1, Benjamin O Patterson2, Matthew Joe Grima2
1St. George's Vascular Institute, St. George's Hospital National Health Service Trust, London, United Kingdom; Department of Vascular Surgery, Assistance Publique-Hôpitaux de Marseille (APHM), University Hospital Nord, Marseille, France; Aix-Marseille Université, Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR), Unité Mixte de Recherche T24, Marseille, France.
Abstract:
This review analyzed the incidence, mechanisms, and risk factors of aortic-related reintervention after endovascular repair of chronic dissections. The systematic review identified 28 studies describing 1,249 patients at median 27 months follow-up (range, 10.3 to 64.4). There were six reinterventions, 0.7 ruptures, and 1.2 surgical conversions per 100 patient-years of follow-up. Stent-related reinterventions were more frequent than nonstent related (80.2% vs 19.8%). Distal false lumen perfusion was the most common complication (40.5%). No individual risk factor-treatment timing, disease extent, covered aorta length, or remodelling-was associated with reintervention. Further investigation based on consistent reporting standards is required.
