Table 4.
Outcomes of 146 patients who underwent the elephant trunk procedure
| All |
Dissection |
Aneurysm |
P value | |
|---|---|---|---|---|
| n = 146 | n = 55 | n = 91 | ||
| 30-d mortality | 16 (10.9%) | 5 (9.0%) | 11 (12.0%) | ns |
| Mortality 30-180 d | 2 (1.3%) | 1 (1.8%) | 1 (1.0%) | ns |
| Paraplegia | ||||
| After index elephant trunk | 1 (0.6%) | 1 (1.8%) | 0 (0%) | ns |
| After second-stage TEVAR | 10 (6.8%) | 3 (5.4%) | 7 (7.6%) | ns |
| After second-stage OSR | 2 (1.3%) | 0 (0%) | 2 (2.1%) | ns |
| Major stroke | 6 (4.1%) | 3 (5.4%) | 3 (3.2%) | ns |
| Minor stroke | 2 (1.3%) | 0 (0%) | 2 (2.1%) | ns |
| Cognitive dysfunction/delirium | 19 (13.0%) | 8 (14.5%) | 11 (12.0%) | ns |
| Renal failure/dialysis | 20 (13.6%) | 6 (10.9%) | 14 (15.3%) | ns |
| Respiratory insufficiency | 54 (36.9%) | 26 (47.2%) | 28 (30.7%) | .01 |
| Lung infection/positive BAL | 19 (13.0%) | 5 (9.0%) | 14 (15.3%) | ns |
| Sepsis | 5 (3.4%) | 3 (5.4%) | 2 (2.1%) | ns |
| Tracheostomy | 16 (10.9%) | 4 (7.2%) | 12 (13.1%) | ns |
| Perioperative myocardial infarct | 1 (0.6%) | 1 (1.8%) | 0 (0%) | ns |
| Cardiac arrest | 10 (6.8%) | 6 (10.9%) | 4 (4.3%) | ns |
| Cardiac failure/low cardiac output | 26 (17.0%) | 11 (20%) | 15 (16.4%) | ns |
| Atrial fibrillation | 36 (24.6%) | 13 (23.6%) | 23 (25.2%) | ns |
| Visceral ischemia | 3 (2.0%) | 1 (1.8%) | 3 (3.2%) | ns |
| Sternal re-entry | 17 (11.6%) | 7 (12.7%) | 10 (10.9%) | ns |
| Delayed closure∗ | 17 (11.6%) | 9 (16.3%) | 8 (8.7%) | ns |
Values are n (%). ns, Not significant; TEVAR, thoracic endovascular repair; OSR, open surgical repair; BAL, bronchoalveolar lavage.
∗
Mediastinal packing for bleeding or temporary ventricular dysfunction.