Long-term outcomes of elective thoracic endovascular aortic repair (TEVAR) for degenerative thoracic aortic aneurysms (TAA) are not well defined. A review of the literature on the follow-up outcomes of elective TEVAR for degenerative TAA resulted in 22 relevant articles. Two- and five-year freedom from aneurysm-related death varied between 93.0% and 100.0%, and 82.4% to 92.7%, respectively. Two-year and five-year all-cause survival ranged between 68.0% and 97.2% and 47.0% to 78.0%, respectively. Follow-up ranged between 17.3 and 66.0 months. Most common endograft-related complication was endoleak, with reported rate between 1.4% and 14.8% during six months up to five years of follow-up. Endovascular reinterventions were reported in 0.0–32.3%, secondary open surgery was needed in 0.0% to 4.7% during follow-up. Aneurysm-related survival rates after elective TEVAR for degenerative TAA are acceptable. However, reported incidences of endograft-related complications vary considerably in the literature, but the majority can be managed with conservative treatment or additional endovascular procedures.

aneurysm, Endovascular procedures/stents, outcomes, thoracic
dx.doi.org/10.1177/1708538115588648, hdl.handle.net/1765/86124
Vascular
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Department of Surgery

Kamman, A.V, Jonker, F.H.W, Nauta, F.J.H, Trimarchi, S, Moll, F.L, & van Herwaarden, J.A. (2016). A review of follow-up outcomes after elective endovascular repair of degenerative thoracic aortic aneurysms. Vascular (Vol. 24, pp. 208–216). doi:10.1177/1708538115588648