Table 3.
The evolution of endovascular management for acute complicated Type III aortic dissection
Author |
Publication Year |
Sample Size |
Study Length |
Follow up | All cause mortality | Findings / Conclusions | Stent Type |
---|---|---|---|---|---|---|---|
Slonim42 | 1996 | 11 | 1992–1995 | Mean: 10.1 months (2 weeks-39 months) |
9.1% | Technique included fenestration and stent placement, 2 of 5 fenestration patients required re-intervention |
Palmaz®1 |
Dake43 | 1999 | 22 | 1996–1998 | Mean: 13 months | 16% (30D) | False lumen thrombosis 79%; Re- vascularization in 76% |
Custom |
Nienaber44 | 1999 | 12 | 1997–1998 | 12 months | 0.0% | Technical success in 100%; no endoleak; no morbidity |
Talent™2 |
Tiesenhausen45 | 2001 | 4 | 1998 | Mean: 11.5 months (2–34 months) |
0.0% | False lumen thrombosis 100%; Distal aneurysm in 1 patient |
Talent™2 |
Lopera46 | 2003 | 10 | 1999–2001 | Mean: 20 months (7–30 months) | 10.0% | Technical failure, stroke, deep vein thrombosis in 1 patient each; False lumen thrombosis 60%; Distal aneurysm in 20% |
Custom |
Vedantham77 | 2003 | 11 | 1998–2002 | Mean: 16 months | 0.0% | Preferred to open surgery in complicated Type B aortic dissection |
Wallstent®3 |
Duebener78 | 2004 | 10 | 2000–2003 | Mean: 25 months (1–38 months) | 20% (30D) | Early mortality reduced by emergency endovascular stent grafting (No morality in follow-up period) |
Talent™2 |
Dialetto47 | 2005 | 28 | 1999–2004 | Mean: 18.1 months (1–61 months) |
10.7% | Endoleak in 1 patient; False lumen thrombosis 75%; Distal aneurysm 3.5% |
Talent™2, Gore EXCLUDER®4 |
Resch48 | 2006 | 115 | 1994–2005 | Median: 14 months (1–79 months) |
9.3% (30D) | False lumen thrombosis in 80%; Distal aneurysm in 16% |
Talent™2, Gore EXCLUDER®4 Gore TAG®4, Zenith®5 Endofit™6 |
Chemelli-Steingruber79 | 2008 | 38 | 1996–2008 | Mean: 33 months | 23.7% | Secondary interventions in 2 patients; Conversion open in 3 patients; Endoleak in 9 patients |
Talent™2, Gore EXCLUDER®4 Gore TAG®4 |
Pearce80 | 2008 | 15 | 2005–2007 | Mean: 5.8 months (0–12 months) | 13.3% (30D), 20% | TEVAR has high technical success, excellent results at resolving malperfusion, acceptably low complications |
Gore TAG®4 |
Szeto49 | 2008 | 35 | 2004–2007 | Mean: 13 months (3–47 months) | 2.8% | Technical success 97.1%; 93.4% (1- year survival) |
Talent™2, Gore TAG®4 Zenith ELSE®5 |
Verhoye50 | 2008 | 16 | 1996–2004 | 12 months | 25% (30D) | Distal aorta dilation 1 patient; Freedom from treatment failure at 5 years 67% |
Custom, Gore EXCLUDER®4 Gore TAG®4 |
Feezor81 | 2009 | 33 | 2005–2007 | Mean: 5.5 months | 21% (30D) | 1 major complication in 76% patients, mean follow-up 61% alive and 45% living at home |
Gore TAG®4 |
Albors82 | 2009 | 25 | 2003–2008 | Mean: 30 months (7–53 months) | 8% (30D) | Type 1 Endoleak in 16%; paraparesis in 4% |
Talent™2, Gore TAG®4 Zenith TX1®5, Zenith TX2®5 |
Khoynezhad28 | 2009 | 28 | 1999–2007 | Mean: 36 months (1–88 months) | 10.7% | 82% (1-year survival); 78% (5 year survival); complete thrombosis 85%; treatment failure 18% |
Talent™2, Gore TAG®4 |
Manning51 | 2009 | 52 | 2001–2008 | Mean: 31 months | 11.0% | 1 patient with persistent false lumen perfusion, only Type IIIb needed re- intervention |
Talent™2, Gore TAG®4 Zenith®5, Endofit™6, Relay™7 |
Patel56 | 2009 | 69 | 1997–2008 | Mean: 41.9 months | 17.4% (30D), 30% | Freedom from aortic rupture or open repair at 1, 5, and 8 years was 80.2%, 67.7%, and 54.2% |
Wallstent®3 |
Park83 | 2009 | 17 | 1996–2007 | Mean: 731 days (3–2719 days) | 8.3% (30D) | Malperfusion improved in 90%; Annual growth rate 3.64mm/year thoracic aorta, 2.64mm/year celiac axis, 1.42mm/year infrarenal aorta |
Niti-S™8, Wallstent®3 Smart® Stent9 |
Cordis Corporation, Johnson & Johnson Inc., Warren, NJ
World Medical, Medtronic Vascular Inc., Sunrise, FL
Boston Scientific Corp., Natick, MA
Thoracic Endoprosthesis, W.L. Gore & Associates, Sunnyvale, CA
Cook Inc,. Bloomington, IN
Endomed Inc., London, United Kingdom
Bolton Medical Inc., Sunrise, FL
Taewoong Medical Co. Ltd., Seoul, Korea
Cordis Corp., Miami Lakes, FL