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What Are the Endovascular Options and Outcomes for Repair of Ascending Aortic or Aortic Arch Pathology? by Varun J Sharma; Minesh Prakash; Zaw Lin; Casey Lo is a Medicine article available to read on EtoBox.

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## Summary A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was ‘in patients with ascending aortic or aortic arch disease what are the outcomes with endovascular repair in terms of survival, complications and reintervention?’ Altogether 585 papers were found using the reported search, of which 9 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. We found that the endovascular operative techniques with the greatest evidence were ascending aortic chimney grafts (AACs), branched thoracic endovascular aortic repair (bTEVAR) aortic grafts and fenestrated TEVAR (fTEVAR) aortic grafts. The best evidence available were small case-series or retrospective cohort studies (n < 100), with 1 systematic review, at a short follow-up period (range 0–5 years). Intraoperatively, these techniques have a high technical success rate (84–100%). We found rates of endoleak comparable between AAC (7.4–16%) and bTEVAR/fenestrated TEVAR (11.1–21.4%). Stroke rates are higher in bTEVAR (3.

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Author

Varun J Sharma; Minesh Prakash; Zaw Lin; Casey Lo

Publisher

CTSNet; Oxford University Press; Oxford: Elsevier Science; [S.l.]: European Association for Cardio-thoracic Surgery; Oxford University Press (OUP) (ISSN 1569-9293)

Published

2020

Language

EN

Field

Medicine (Health Sciences)