{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T17:25:44Z","timestamp":1755797144501,"version":"3.44.0"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract  Background Thoraco-abdominal endovascular aortic repair [(T)EVAR] of thoracic (TEVAR) and abdominal aorta (EVAR) has surpassed open surgical repair for thoraco-abdominal aortic diseases.  Objectives We describe the long-term outcomes of 101 (T)EVAR patients treated over the last eleven years.  Methods A retrospective analysis of 101 consecutive (T)EVAR patients was performed. The primary endpoints were in-hospital and 30-day outcomes, while the secondary endpoints were long-term outcomes and re-intervention rates.  Results Out of 101 patients, EVAR and TEVAR were performed in 40 (39.6%) and 61 (60.3%) patients, respectively. Mean age was 58.04 \u00b1 15.7 years. Technical success rates were 100% and 95% in the EVAR and TEVAR groups, respectively. Intraoperative endoleak was observed in 17 patients. Major perioperative complications (n=16) included retrograde aortic dissection (n=1), stent graft migration (n=2), paraparesis (n=1), device system entrapment in iliac vessels (n=1), acute renal failure (n=2), acute limb ischemia (n=3), and aorto-enteric fistula (n=2). The 30-day mortality rate was 7.9% (8 patients). Kaplan Meyer survival estimates at 1 and 5 years were 79% (95% CI 66.0-87.0, SE 0.053%) and 71% (95%CI 56.0- 81.0, SE 0.065%) for TEVAR and 84% (95% CI 67.0-92.0, SE 0.061%) and 69% (95%CI 46.0-83.0, SE 0.094%) for EVAR, respectively. Diabetes and smoking were associated with increased all-cause mortality in EVAR (p=0.018) and TEVAR (p=0.045) cases, respectively, following Cox regression analysis.  Conclusions We observed favorable short- and long-term outcomes in 101 (T)EVAR patients, proving its safety and long-term efficacy for management of thoracoabdominal aortic disease.<\/jats:p>","DOI":"10.1590\/1677-5449.202401472","type":"journal-article","created":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T15:08:25Z","timestamp":1755529705000},"source":"Crossref","is-referenced-by-count":0,"title":["Long-term outcome of endovascular repair of thoracic and abdominal aortic diseases: a retrospective cohort study of 101 patients from a tertiary care centre"],"prefix":"10.1590","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5250-4735","authenticated-orcid":false,"given":"Rajesh","family":"Vijayvergiya","sequence":"first","affiliation":[{"name":"Post Graduate Institute of Medical Education and Research,  India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Basant","family":"Kumar","sequence":"additional","affiliation":[{"name":"Post Graduate Institute of Medical Education and Research,  India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7596-4662","authenticated-orcid":false,"given":"Lipi","family":"Uppal","sequence":"additional","affiliation":[{"name":"Post Graduate Institute of Medical Education and Research,  India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashish","family":"Sharma","sequence":"additional","affiliation":[{"name":"Post Graduate Institute of Medical Education and Research,  India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7801-0012","authenticated-orcid":false,"given":"Ajay","family":"Savlania","sequence":"additional","affiliation":[{"name":"Post Graduate Institute of Medical Education and Research,  India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankush","family":"Gupta","sequence":"additional","affiliation":[{"name":"Post Graduate Institute of Medical Education and Research,  India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harkant","family":"Singh","sequence":"additional","affiliation":[{"name":"Post Graduate Institute of Medical Education and Research,  India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manphool","family":"Singhal","sequence":"additional","affiliation":[{"name":"Post Graduate Institute of Medical Education and Research,  India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"issue":"2","key":"ref1","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1038\/scientificamerican0805-64","article-title":"Beating a sudden killer","volume":"293","author":"Elefteriades JA","year":"2005","journal-title":"Sci Am"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1007\/BF02015271","article-title":"Transfemoral intraluminal graft implantation for abdominal aortic 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Surg"},{"issue":"3","key":"ref28","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1177\/1538574418814989","article-title":"Risk factors associated with reintervention after thoracic endovascular aortic repair for descending aortic pathologies","volume":"53","author":"Son SA","year":"2019","journal-title":"Vasc Endovascular Surg"},{"issue":"5","key":"ref29","doi-asserted-by":"crossref","first-page":"1554","DOI":"10.1016\/j.jvs.2019.07.091","article-title":"Comparison of midterm results of endovascular aneurysm repair for ruptured and elective abdominal aortic aneurysms","volume":"71","author":"Oliveira-Pinto J","year":"2020","journal-title":"J Vasc Surg"}],"container-title":["Jornal Vascular Brasileiro"],"original-title":["Desfechos a longo prazo do reparo endovascular de doen\u00e7as da aorta tor\u00e1cica e abdominal: um estudo de coorte retrospectivo de 101 pacientes em um centro de cuidados terci\u00e1rios"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1677-54492025000100320&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T15:08:28Z","timestamp":1755529708000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1677-54492025000100320&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":29,"alternative-id":["S1677-54492025000100320"],"URL":"https:\/\/doi.org\/10.1590\/1677-5449.202401472","relation":{},"ISSN":["1677-7301","1677-5449"],"issn-type":[{"type":"electronic","value":"1677-7301"},{"type":"print","value":"1677-5449"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e20240147"}}