{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T03:57:15Z","timestamp":1780718235192,"version":"3.54.1"},"reference-count":28,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2016,6,10]],"date-time":"2016-06-10T00:00:00Z","timestamp":1465516800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To report the long-term results of thoracic endovascular aortic repair (TEVAR) in both elective and emergency cases of thoracic aortic aneurysm (TAA) and type B dissection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>A prospective single-center study of 78 TEVAR patients treated between February 1998 and February 2013. Stent-graft implantation was performed in 51 (65%) patients for TAA (43 elective and 8 emergency cases) and in 27 (35%) patients for type B dissection (11 elective and 16 emergency cases). Short- and long-term results were evaluated, and a subgroup of patients with left subclavian artery (LSA) coverage was also analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The patients were followed for a mean of 55 months (1-160 months). The technical success rate was 81% and 30-day mortality 6.4% (n = 5). The stroke rate was 7.7% (n = 6) and permanent paraparesis 2.6% ( n = 2). In follow-up, there were 28 (36%) primary (15 type I and 13 type II) and 10 secondary endoleaks (8 type I and 2 type II). Multivariate analysis showed no significant predictive factors for developing a type I endoleak. Secondary interventions were required in 24% of the patients. There was 1 late thoracic aortic rupture and 1 late conversion (1.3%). Patients with LSA coverage had a higher incidence of stroke (12.5% vs 4.3%, P = .18) and paraparesis (3.1% vs 2.2%, P = .79) compared to those without LSA coverage, although this difference was not statistically significant. Stroke rates were significantly higher in patients treated in an emergency setting ( P = .048).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Thoracic endovascular aortic repair is a relatively safe and effective therapy for different aortic pathologies with good long-term success. The risk of stroke and paraparesis is notable whether the LSA is covered, and strokes clearly accumulate in the emergency setting. A type I endoleak is the most common complication, but there are no predictive factors for its development.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1538574416652244","type":"journal-article","created":{"date-parts":[[2016,6,10]],"date-time":"2016-06-10T06:58:49Z","timestamp":1465541929000},"page":"335-342","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Long-Term Experience of Endovascular Repair for Thoracic Aortic Aneurysms and Dissections"],"prefix":"10.1177","volume":"50","author":[{"given":"Suvi","family":"V\u00e4\u00e4r\u00e4m\u00e4ki","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Vascular Surgery, Tampere University Hospital, Tampere, Finland"},{"name":"School of Medicine, University of Tampere, Tampere, Finland"},{"name":"Sein\u00e4joki Central Hospital, Sein\u00e4joki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Velipekka","family":"Suominen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Vascular Surgery, Tampere University Hospital, Tampere, Finland"},{"name":"School of Medicine, University of Tampere, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"Pimenoff","sequence":"additional","affiliation":[{"name":"Department of Radiology, Division of Interventional Radiology, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jukka","family":"Saarinen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Vascular Surgery, Tampere University Hospital, Tampere, Finland"},{"name":"School of Medicine, University of Tampere, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilkka","family":"Uurto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Vascular Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juha","family":"Salenius","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Vascular Surgery, Tampere University Hospital, Tampere, Finland"},{"name":"School of Medicine, University of Tampere, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,6,10]]},"reference":[{"key":"bibr1-1538574416652244","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.07.106"},{"key":"bibr2-1538574416652244","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.06.101"},{"key":"bibr3-1538574416652244","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.08.020"},{"key":"bibr4-1538574416652244","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.06.148"},{"issue":"2","key":"bibr5-1538574416652244","first-page":"97","volume":"63","author":"Ramdass M","year":"2015","journal-title":"Thorac Cardiovasc Surg"},{"key":"bibr6-1538574416652244","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.12.075"},{"key":"bibr7-1538574416652244","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.03.270"},{"key":"bibr8-1538574416652244","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.08.076"},{"issue":"6","key":"bibr9-1538574416652244","first-page":"1188","volume":"44","author":"Stone DH","year":"2006","journal-title":"Mid-term results. 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