Table 6.
Outcomes after 114 endovascular procedures following the elephant trunk procedure
All | Dissection | Aneurysm | P value | |
---|---|---|---|---|
All major endovascular procedures | 114 | 33 | 81 | .03 |
Planned second-stage completion | 97 (85.0%) | 29 (87.8%) | 68 (83.9%) | ns |
Branched/chimney | 25 | 11 | 14 | .04 |
Standard stent-graft | 72 | 18 | 54 | |
Third-stage and extensions | 17 (14.9%) | 4 (12.1%) | 13 (16.0%) | ns |
Branched stent-graft | 10 | 3 | 7 | ns |
Standard stent-graft | 7 | 1 | 6 | |
Treatment with standard stent-grafts (second and third stages only) | 79 (69.2%) | 19 (57.5%) | 60 (74.0%) | .04 |
Stent-graft units per patient (straight) | ||||
1 | 30 | 9 | 20 | ns |
2 | 40 | 3 | 23 | .05 |
3 | 13 | 2 | 11 | ns |
Mean number of grafts per patients | 1.77 | 1.61 | 1.83 | .02 |
Straight stent-graft length, mm | 216 [155-338] | 155 [100-209] | 265 [199-345] | .006 |
Length covered from collar, mm | 182 [154-214] | 168 [155-197] | 184 [154-214] | .001 |
Median stent-graft diameter, mm | 34 [30-40] | 28 [26-32] | 34 [31-42] | <.001 |
Treatment with branched stent-graft (any stage) | 35 (30.7%) | 14 (42.2%) | 21 (25.9%) | .01 |
Custom-made | 27 | 7 | 20 | .003 |
Off-the-shelf | 7 | 7 | 0 | <.001 |
Chimney | 1 | 0 | 1 | ns |
Antegrade/one-step procedure | 12 | 2 | 10 | ns |
Fenestration (second stage) | 18 | 18 | – | – |
Standard stent-graft + fenestration | 8 | 8 | – | – |
Branched stent-graft + fenestration | 10 | 10 | – | – |
Fenestration (third stage/extension) | 4 | 4 | – | |
With standard stent-graft | 1 | 1 | – | – |
With branched stent-graft | 3 | 3 | – | – |
Reinterventions | ||||
Thoracic/thoracoabdominal | 17 | 4 | 13 | ns |
Standard stent graft | 7 | 1 | 6 | – |
Branched stent graft | 10 | 3 | 7 | – |
Abdominal/iliac | 31 | 12 | 15 | .02 |
Renal/visceral | 5 | 3 | 1 | .06 |
Minor endoleak | 15 | 6 | 9 | ns |
Other peripheral | 10 | 4 | 6 | ns |
Visceral branch complications | 5 | 2 | 3 | ns |
Values are n (%) or median [interquartile range]. ns, Not significant.