ISSN 2394-5125
 

Research Article 


EARLY OUTCOMES OF ENDOVASCULAR AORTIC REPAIR VERSUS OPEN SURGICAL REPAIR FOR DESCENDING THORACIC AORTIC DISEASES

Mohammed Farahat Helmey, Magued Abdelmessih Zikri, Ahmed Nabil Khallaf, MD., Khaled Mortada, Ahmed Elsharkawy.

Abstract
Background and Objective: Surgical treatment of diseases of the descending
thoracic aorta remains a therapeutic challenge and is associated with significant risk of mortality
and morbidity. Thoracic endovascular aortic repair (TEVAR) represents a minimally invasive
technique alternative to conventional open surgical reconstruction for the treatment of thoracic
aortic pathologies. The purpose of this study was to compare early Outcomes of Endovascular
Aortic Repair Versus Open Surgical Repair for Descending Thoracic Aortic Diseases
Methods: This is a prospective comparative observational study for the evaluation and assessment
of endovascular treatment versus open surgical repair of descending thoracic aortic diseases
regarding early mortality and morbidities. This study included 50 patients treated by either of the
2 techniques in which patients divided into TEVAR group( 25 patients) and surgery group( 25
patients ) from the first march 2016 to November 2018 .Results: Patient characteristics were
balanced except for age, as TEVAR patients were usually older than open surgery patients
(50.62.4) years vs (60.7 3.5) years with p value <0.001. Registry data suggested most of
perioperative complications were reduced for TEVAR group. Incidence in open surgery to
TEVAR was as, paraplegia (20% vs 0% ) with p value = 0.05 , ICU stay ((2.6 days vs 1.4 days)
with p value = 0.001, prolonged ventilation (20% vs 0% ) with p value = 0.05 , wound infection
(20% vs 0% ) with p value = 0.05 , Hospital stay ((5.6 days vs 2.6 days) with p value = 0.001
were reduced for TEVAR versus open surgery.. There was no significant difference in stroke,
aortic reintervention, hoarseness of voice, post-operative renal impairment and early mortality.
Conclusions: TEVAR reduce the incidence of early morbidities as paraplegia, respiratory
complications, wound infection, post-operative ICU stay and hospital stay, no significant
difference between TEVAR and conventional open surgery regarding early mortality and other
morbidities as stroke, post-operative renal impairment and hoarseness of voice.

Key words: Descending aorta, Aneurysm, Dissection, TEVAR and Outcomes


 
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How to Cite this Article
Pubmed Style

Mohammed Farahat Helmey, Magued Abdelmessih Zikri, Ahmed Nabil Khallaf, MD., Khaled Mortada, Ahmed Elsharkawy. EARLY OUTCOMES OF ENDOVASCULAR AORTIC REPAIR VERSUS OPEN SURGICAL REPAIR FOR DESCENDING THORACIC AORTIC DISEASES. JCR. 2020; 7(7): 3947-3954. doi:10.31838/jcr.07.07.347


Web Style

Mohammed Farahat Helmey, Magued Abdelmessih Zikri, Ahmed Nabil Khallaf, MD., Khaled Mortada, Ahmed Elsharkawy. EARLY OUTCOMES OF ENDOVASCULAR AORTIC REPAIR VERSUS OPEN SURGICAL REPAIR FOR DESCENDING THORACIC AORTIC DISEASES. http://www.jcreview.com/?mno=21532 [Access: May 30, 2021]. doi:10.31838/jcr.07.07.347


AMA (American Medical Association) Style

Mohammed Farahat Helmey, Magued Abdelmessih Zikri, Ahmed Nabil Khallaf, MD., Khaled Mortada, Ahmed Elsharkawy. EARLY OUTCOMES OF ENDOVASCULAR AORTIC REPAIR VERSUS OPEN SURGICAL REPAIR FOR DESCENDING THORACIC AORTIC DISEASES. JCR. 2020; 7(7): 3947-3954. doi:10.31838/jcr.07.07.347



Vancouver/ICMJE Style

Mohammed Farahat Helmey, Magued Abdelmessih Zikri, Ahmed Nabil Khallaf, MD., Khaled Mortada, Ahmed Elsharkawy. EARLY OUTCOMES OF ENDOVASCULAR AORTIC REPAIR VERSUS OPEN SURGICAL REPAIR FOR DESCENDING THORACIC AORTIC DISEASES. JCR. (2020), [cited May 30, 2021]; 7(7): 3947-3954. doi:10.31838/jcr.07.07.347



Harvard Style

Mohammed Farahat Helmey, Magued Abdelmessih Zikri, Ahmed Nabil Khallaf, MD., Khaled Mortada, Ahmed Elsharkawy (2020) EARLY OUTCOMES OF ENDOVASCULAR AORTIC REPAIR VERSUS OPEN SURGICAL REPAIR FOR DESCENDING THORACIC AORTIC DISEASES. JCR, 7 (7), 3947-3954. doi:10.31838/jcr.07.07.347



Turabian Style

Mohammed Farahat Helmey, Magued Abdelmessih Zikri, Ahmed Nabil Khallaf, MD., Khaled Mortada, Ahmed Elsharkawy. 2020. EARLY OUTCOMES OF ENDOVASCULAR AORTIC REPAIR VERSUS OPEN SURGICAL REPAIR FOR DESCENDING THORACIC AORTIC DISEASES. Journal of Critical Reviews, 7 (7), 3947-3954. doi:10.31838/jcr.07.07.347



Chicago Style

Mohammed Farahat Helmey, Magued Abdelmessih Zikri, Ahmed Nabil Khallaf, MD., Khaled Mortada, Ahmed Elsharkawy. "EARLY OUTCOMES OF ENDOVASCULAR AORTIC REPAIR VERSUS OPEN SURGICAL REPAIR FOR DESCENDING THORACIC AORTIC DISEASES." Journal of Critical Reviews 7 (2020), 3947-3954. doi:10.31838/jcr.07.07.347



MLA (The Modern Language Association) Style

Mohammed Farahat Helmey, Magued Abdelmessih Zikri, Ahmed Nabil Khallaf, MD., Khaled Mortada, Ahmed Elsharkawy. "EARLY OUTCOMES OF ENDOVASCULAR AORTIC REPAIR VERSUS OPEN SURGICAL REPAIR FOR DESCENDING THORACIC AORTIC DISEASES." Journal of Critical Reviews 7.7 (2020), 3947-3954. Print. doi:10.31838/jcr.07.07.347



APA (American Psychological Association) Style

Mohammed Farahat Helmey, Magued Abdelmessih Zikri, Ahmed Nabil Khallaf, MD., Khaled Mortada, Ahmed Elsharkawy (2020) EARLY OUTCOMES OF ENDOVASCULAR AORTIC REPAIR VERSUS OPEN SURGICAL REPAIR FOR DESCENDING THORACIC AORTIC DISEASES. Journal of Critical Reviews, 7 (7), 3947-3954. doi:10.31838/jcr.07.07.347