{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T06:40:03Z","timestamp":1775544003345,"version":"3.50.1"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2023,3,21]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Because thoracic endovascular aortic repair (TEVAR) has become the standard of care for complicated type B aortic dissection (TBAD) and descending thoracic aortic (DTA) aneurysm, it is important to understand outcomes and use of TEVAR across thoracic aortic pathologies.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              This was an observational study of patients with TBAD or DTA undergoing TEVAR from 2010 to 2018, using the Nationwide Readmissions Database. In\u2010hospital mortality, postoperative complications, admission costs, and 30\u2010 and 90\u2010day readmissions were compared between the groups. Mixed model logistic regression was used to identify variables associated with mortality. An estimated total of 12\u2009824 patients underwent TEVAR nationally, of which 6043 had an indication of TBAD and 6781 of DTA. Patients with aneurysms were more likely to be older, women, have cardiovascular disease, and have chronic pulmonary disease compared with patients with TBAD. Weighted in\u2010hospital mortality was higher for TBAD (8% [1054\/12\u2009711] versus 3% [433\/14\u2009407],\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001), compared with DTA, as were all postoperative complications. Patients with TBAD had a higher cost of care during their index admission (57.3 versus 38.8\u00a0\u00d7\u00a0$1000,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001), compared with DTA. The 30\u2010day and 90\u2010day weighted readmissions were more frequent for the TBAD group compared with DTA (20% [1867\/12\u2009711] and 30% [2924\/12\u2009711] versus 15% [1603\/14\u2009407] and 25% [2695\/14\u2009407], respectively,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001). On multivariable adjustment, TBAD was independently associated with mortality (odds ratio, 2.06 [95% CI, 1.68\u20132.52];\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">After TEVAR, patients who presented with TBAD had higher rates of postoperative complications, in\u2010hospital mortality, and cost compared with DTA. The incidence of early readmission was substantial for patients undergoing TEVAR, faring worse for those undergoing TEVAR for TBAD as compared with DTA.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.122.027641","type":"journal-article","created":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T11:40:26Z","timestamp":1678362026000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Association of Thoracic Aortic Aneurysm Versus Aortic Dissection on Outcomes After Thoracic Endovascular Aortic Repair"],"prefix":"10.1161","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8787-9841","authenticated-orcid":false,"given":"Irsa S.","family":"Hasan","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James A.","family":"Brown","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5991-6385","authenticated-orcid":false,"given":"Derek","family":"Serna\u2010Gallegos","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA"},{"name":"Heart and Vascular Institute University of Pittsburgh Medical Center PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6812-3056","authenticated-orcid":false,"given":"Edgar","family":"Aranda\u2010Michel","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2333-1086","authenticated-orcid":false,"given":"Sarah","family":"Yousef","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yisi","family":"Wang","sequence":"additional","affiliation":[{"name":"Heart and Vascular Institute University of Pittsburgh Medical Center PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1737-4012","authenticated-orcid":false,"given":"Ibrahim","family":"Sultan","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh PA USA"},{"name":"Heart and Vascular Institute University of Pittsburgh Medical Center PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1666972"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2013.05.003"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.16580"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezaa128"},{"key":"e_1_3_1_6_2","unstructured":"NRD overview. Healthcare Cost and Utilization Project (HCUP). Agency for Healthcare Research and Quality Rockville MD. Available from: https:\/\/www.hcup\u2010us.ahrq.gov\/nrdoverview.jsp. 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