Table II.
Comparative statistics of commonly reported perioperative outcomes for elective thoracic endovascular aortic repair (TEVAR) alone and simultaneous TEVAR and endovascular aneurysm repair (EVAR)a
| Variableb | TEVAR-EVAR N = 22 | TEVAR alone N = 435 | OR (95% CI) | Pc |
|---|---|---|---|---|
| Male sex, % | 86.4 | 67.0 | .4 | |
| Age, years | 66 ± 9 | 67 ± 13 | .9 | |
| Preoperative procedure, %d | 45.4 | 23.0 | 3.4 (1.4–8.0) | .004 |
| Preoperative spinal drain, % | 77.3 | 55.0 | 2.8 (1–7.8) | .04 |
| Estimated blood loss, mL | 350 (150–2000) | 250 (50–4500) | NA | <.0001 |
| Contrast, mL | 238 (90–420) | 125 (0–305) | NA | <.0001 |
| Fluoroscopy time, minutes | 58 (27–143) | 20 (0–230) | NA | <.0001 |
| Procedure time, minutes | 209 (110–552) | 100 (37–594) | NA | <.0001 |
| Outcomes | ||||
| Median LOS (95% CI), days | 5 (5–12) | 5 (6–7) | NA | .06 |
| Reintervention at 12 months, % | 9.1 | 11.0 | 0.38 (0.2–2.0) | .6 |
| Renal injury, %e | ||||
| Any | 9.1 | 3.0 | 3.5 (0.7–17.0) | .1 |
| Hemodialysis | 0 | 0.9 | Inestimable | >.99 |
| Spinal chord ischemia, %f | ||||
| Any | 13.6 | 6.0 | 2.5 (0.7–9.0) | .2 |
| Permanent | 4.5 | 4.4 | 1.2 (0.2–10.0) | .6 |
| 30-day mortality, % | 4.5 | 2.1 | 1.8 (0.2–15.0) | .4 |
CI, Confidence interval; LOS, length of stay; NA, not applicable; OR, odds ratio.
No significant differences exist between the two patient cohorts with respect to preoperative comorbidities such as coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, renal insufficiency (preoperative creatinine ≥1.8 mg/dL), and diabetes mellitus, cerebrovascular, or peripheral arterial occlusive disease.
Continuous variables are shown as mean ± standard deviation and mean (range), unless otherwise indicated.
Determined using the Fisher exact or t-test, when appropriate.
Included carotid-to-subclavian bypass, embolization, arch debranching, elephant trunk, or access vessel procedure.
Defined as a change in baseline creatinine of ≥25%.
Defined as any decrease in baseline ambulatory ability.