{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:29:47Z","timestamp":1791822587918,"version":"4.3.4"},"reference-count":50,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:00:00Z","timestamp":1704931200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001659","name":"German Research Foundation","doi-asserted-by":"publisher","award":["491454339"],"award-info":[{"award-number":["491454339"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The objective of this study is to present the current outcomes of fenestrated\/branched endovascular repair (F\/BEVAR) for post-dissection thoracoabdominal aortic aneurysms (PDTAAAs). A systematic review of the literature according to PRISMA guidelines up to October 2023 was conducted (protocol CRD42023473403). Studies were included if \u226510 patients were reported and at least one of the major outcomes was stated. A total of 10 studies with 585 patients overall were included. The pooled estimate for technical success was 94.3% (95% CI 91.4% to 96.2%). Permanent paraplegia developed with a pooled rate of 2.5% (95% CI 1.5% to 4.3%), whereas a cerebrovascular event developed with a pooled rate of 1.6% (95% CI 0.8% to 3.0%). An acute renal function impairment requiring new-onset dialysis occurred with a pooled rate of 2.0% (95% CI 1.0% to 3.8%). Postoperative respiratory failure was observed with a pooled estimate of 5.5% (95% CI 3.8% to 8.1%). The pooled estimate for 12-month overall survival was 90% (95% CI 85% to 93.5%), and the pooled estimates for 24-month and 36-month survival were 87.8% (95% CI 80.9% to 92.5%) and 85.5% (95% CI 76.5% to 91.5%), respectively. Freedom from reintervention was estimated at 83.9% (95% CI 75.9% to 89.6%) for 12 months, 82.8% (95% CI 68.7% to 91.4%) for 24 months and 76.1% (95% CI 60.6% to 86.8%) for 36 months. According to the present findings, F\/BEVAR can be performed in PD-TAAAs with high rates of technical success and good mid-term results.<\/jats:p>","DOI":"10.3390\/jcm13020410","type":"journal-article","created":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T08:27:07Z","timestamp":1704961627000},"page":"410","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["A Systematic Review and an Updated Meta-Analysis of Fenestrated\/Branched Endovascular Aortic Repair of Chronic Post-Dissection Thoracoabdominal Aortic Aneurysms"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9875-4614","authenticated-orcid":false,"given":"Spyridon N.","family":"Mylonas","sequence":"first","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Faculty of Medicine and University Hospital of Cologne, University of Cologne, 50937 Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuna","family":"Aras","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Faculty of Medicine and University Hospital of Cologne, University of Cologne, 50937 Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8262-8381","authenticated-orcid":false,"given":"Bernhard","family":"Dorweiler","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Faculty of Medicine and University Hospital of Cologne, University of Cologne, 50937 Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.ejvs.2016.06.005","article-title":"Editor\u2019s Choice\u2014Management of Descending Thoracic Aorta Diseases: Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS)","volume":"53","author":"Riambau","year":"2017","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/j.jvs.2019.11.013","article-title":"Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections","volume":"71","author":"Lombardi","year":"2020","journal-title":"J. Vasc. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1016\/j.jvs.2014.12.038","article-title":"The natural history of medically managed acute type B aortic dissection","volume":"61","author":"Durham","year":"2015","journal-title":"J. Vasc. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"3133","DOI":"10.1161\/CIRCULATIONAHA.111.090266","article-title":"Long-term outcome of aortic dissection with patent false lumen: Predictive role of entry tear size and location","volume":"125","author":"Evangelista","year":"2012","journal-title":"Circulation"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"II256","DOI":"10.1161\/01.CIR.0000138386.48852.b6","article-title":"Growth rate of aortic diameter in patients with type B aortic dissection during the chronic phase","volume":"110","author":"Sueyoshi","year":"2004","journal-title":"Circulation"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1016\/j.jcin.2013.05.003","article-title":"Survival after endovascular therapy in patients with type B aortic dissection: A report from the International Registry of Acute Aortic Dissection (IRAD)","volume":"6","author":"Fattori","year":"2013","journal-title":"JACC Cardiovasc. Interv."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e000075","DOI":"10.1161\/HCI.0000000000000075","article-title":"Imaging and Surveillance of Chronic Aortic Dissection: A Scientific Statement From the American Heart Association","volume":"15","author":"Fleischmann","year":"2022","journal-title":"Circ. Cardiovasc. Imaging"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.21037\/acs-2021-taes-25","article-title":"Thoracic endovascular repair of chronic type B aortic dissection: A systematic review","volume":"11","author":"Williams","year":"2022","journal-title":"Ann. Cardiothorac. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1136\/heartjnl-2013-305133","article-title":"Early and late management of type B aortic dissection","volume":"100","author":"Nienaber","year":"2014","journal-title":"Heart"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1016\/j.jvs.2017.06.067","article-title":"Aneurysmal degeneration of type B aortic dissections after thoracic endovascular aortic repair: A systematic review","volume":"66","author":"Famularo","year":"2017","journal-title":"J. Vasc. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e026914","DOI":"10.1161\/JAHA.122.026914","article-title":"Long-Term Outcomes of Chronic Type B Aortic Dissection Treated by Thoracic Endovascular Aortic Repair","volume":"12","author":"Jiang","year":"2023","journal-title":"J. Am. Heart Assoc."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1093\/ejcts\/ezac052","article-title":"Fate of remaining dissected aorta after descending thoracic or thoracoabdominal aorta replacement for chronic dissection","volume":"61","author":"Jung","year":"2022","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1177\/1708538115627249","article-title":"Frequency of abdominal aortic expansion after thoracic endovascular repair of type B aortic dissection","volume":"24","author":"Weber","year":"2016","journal-title":"Vascular"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2415","DOI":"10.1016\/j.jacc.2022.04.017","article-title":"False Lumen Flow Assessment by Magnetic Resonance Imaging and Long-Term Outcomes in Uncomplicated Aortic Dissection","volume":"79","author":"Evangelista","year":"2022","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1268","DOI":"10.1016\/j.athoracsur.2004.02.031","article-title":"Long-term outcome and prognostic predictors of medically treated acute type B aortic dissections","volume":"78","author":"Onitsuka","year":"2004","journal-title":"Ann. Thorac. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e334","DOI":"10.1161\/CIR.0000000000001106","article-title":"2022 ACC\/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association\/American College of Cardiology Joint Committee on Clinical Practice Guidelines","volume":"146","author":"Isselbacher","year":"2022","journal-title":"Circulation"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00772-023-00995-5","article-title":"Interdisciplinary German clinical practice guidelines on the management of type B aortic dissection","volume":"28","author":"Oberhuber","year":"2023","journal-title":"Gefasschirurgie"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2986","DOI":"10.1016\/j.jtcvs.2014.07.048","article-title":"Outcomes of open distal aortic aneurysm repair in patients with chronic DeBakey type I dissection","volume":"148","author":"Coselli","year":"2014","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"S125","DOI":"10.1016\/j.jtcvs.2014.07.064","article-title":"Open thoracoabdominal aortic repair for chronic type B dissection","volume":"149","author":"Kouchoukos","year":"2015","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"4","DOI":"10.20517\/2574-1209.2021.88","article-title":"Open repair for thoracoabdominal aortic aneurysms precipitated by chronic aortic dissection","volume":"6","author":"Jonathan","year":"2022","journal-title":"Vessel. Plus"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1093\/ejcts\/ezy050","article-title":"Open surgical repair of post-dissection thoraco-abdominal aortic aneurysms: Early and late outcomes of a single-centre study involving over 200 patients","volume":"54","author":"Alfonsi","year":"2018","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"ref_22","first-page":"505","article-title":"Chronic dissection\u2014Indications for treatment with branched and fenestrated stent-grafts","volume":"55","author":"Sobocinski","year":"2014","journal-title":"J. Cardiovasc. Surg."},{"key":"ref_23","first-page":"427","article-title":"Outcomes of fenestrated and branched endovascular aortic repair for chronic post-dissection thoracoabdominal aortic aneurysms","volume":"61","author":"Ibraheem","year":"2020","journal-title":"J. Cardiovasc. Surg."},{"key":"ref_24","first-page":"529","article-title":"Do branched and fenestrated devices have a role in chronic type B aortic dissection?","volume":"52","author":"Trimarchi","year":"2011","journal-title":"J. Cardiovasc. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"b2700","DOI":"10.1136\/bmj.b2700","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration","volume":"339","author":"Liberati","year":"2009","journal-title":"BMJ"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1001\/jamasurg.2021.0522","article-title":"MOOSE Reporting Guidelines for Meta-analyses of Observational Studies","volume":"156","author":"Brooke","year":"2021","journal-title":"JAMA Surg."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"4S","DOI":"10.1016\/j.jvs.2020.06.011","article-title":"Reporting standards for endovascular aortic repair of aneurysms involving the renal-mesenteric arteries","volume":"73","author":"Oderich","year":"2021","journal-title":"J. Vasc. Surg."},{"key":"ref_28","first-page":"2127","article-title":"Methodological quality of case series studies: An introduction to the JBI critical appraisal tool","volume":"18","author":"Munn","year":"2020","journal-title":"JBI Evid. Synth."},{"key":"ref_29","unstructured":"Stuart, A., and Ord, K. (2010). Kendall\u2019s Advanced Theory of Statistics, Distribution Theory, John Wiley & Sons."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/0197-2456(86)90046-2","article-title":"Meta-analysis in clinical trials","volume":"7","author":"DerSimonian","year":"1986","journal-title":"Control Clin. Trials"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1136\/bmj.315.7109.629","article-title":"Bias in meta-analysis detected by a simple, graphical test","volume":"315","author":"Egger","year":"1997","journal-title":"BMJ"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1016\/j.jvs.2023.05.053","article-title":"Multicenter trans-Atlantic experience with fenestrated-branched endovascular aortic repair of chronic post-dissection thoracoabdominal aortic aneurysms","volume":"78","author":"Abdelhalim","year":"2023","journal-title":"J. Vasc. Surg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.avsg.2022.11.033","article-title":"Treatment of Thoracoabdominal Aortic Aneurysmal Degeneration Following Aortic Dissections at a Single Surgical Center Using a Physician-Assembled Branched Endovascular Stent Graft","volume":"93","author":"Patrick","year":"2023","journal-title":"Ann. Vasc. Surg."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/j.jvs.2023.05.005","article-title":"Comparative outcomes of physician-modified fenestrated-branched endovascular repair of post-dissection and degenerative complex abdominal or thoracoabdominal aortic aneurysms","volume":"78","author":"DiBartolomeo","year":"2023","journal-title":"J. Vasc. Surg."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.xjtc.2022.12.008","article-title":"Midterm outcomes of physician-modified endovascular grafts for repair of postdissection and degenerative thoracoabdominal aortic aneurysms","volume":"18","author":"Yang","year":"2023","journal-title":"JTCVS Tech."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1053\/j.semvascsurg.2022.06.002","article-title":"Fenestrated and branched stent grafts for the treatment of post-dissection thoracoabdominal aortic aneurysms","volume":"35","author":"Ibraheem","year":"2022","journal-title":"Semin. Vasc. Surg."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Benfor, B., Hogl, J., Gouveia, E.M.R., Stana, J., Prendes, C.F., Pichlmaier, M., Rantner, B., and Tsilimparis, N. (2022). Postoperative Outcomes and Reinterventions Following Fenestrated\/Branched Endovascular Aortic Repair in Post-Dissection and Complex Degenerative Abdominal and Thoraco-Abdominal Aortic Aneurysms. J. Clin. Med., 11.","DOI":"10.3390\/jcm11164768"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1672","DOI":"10.1007\/s00270-022-03232-w","article-title":"Mid-term Outcomes of Physician-Modified Fenestrated or Branched Endovascular Repair for Post-dissection Thoracoabdominal Aortic Aneurysms","volume":"45","author":"Wang","year":"2022","journal-title":"Cardiovasc. Intervent. Radiol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/j.ejvs.2022.06.019","article-title":"Fenestrated and Branched Endografts for Post-Dissection Thoraco-Abdominal Aneurysms: Results of a National Multicentre Study and Literature Review","volume":"64","author":"Gallitto","year":"2022","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1440","DOI":"10.1007\/s00270-020-02555-w","article-title":"Mid-Term Outcomes of Complex Endografting for Chronic Post-Dissection Thoracoabdominal Aortic Aneurysms","volume":"43","author":"Verzini","year":"2020","journal-title":"Cardiovasc. Intervent. Radiol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1016\/j.jvs.2013.01.049","article-title":"Fenestrated and branched endovascular aortic repair for chronic type B aortic dissection with thoracoabdominal aneurysms","volume":"58","author":"Kitagawa","year":"2013","journal-title":"J. Vasc. Surg."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"385","DOI":"10.23736\/S0021-9509.20.11405-8","article-title":"Anatomical aspects and feasibility of endovascular repair for chronic post-dissection arch and thoracoabdominal aortic aneurysms","volume":"61","author":"Fatima","year":"2020","journal-title":"J. Cardiovasc. Surg."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"416","DOI":"10.23736\/S0021-9509.20.11365-X","article-title":"Sizing and planning fenestrated and branched stent-grafts in patients with chronic post-dissection thoracoabdominal aortic aneurysms","volume":"61","author":"Tenorio","year":"2020","journal-title":"J. Cardiovasc. Surg."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"101108","DOI":"10.1016\/j.jvscit.2023.101108","article-title":"Novel technique to fenestrate an aortic dissection flap using electrocautery","volume":"9","author":"Kabbani","year":"2023","journal-title":"J. Vasc. Surg. Cases Innov. Tech."},{"key":"ref_45","first-page":"767","article-title":"Techniques and outcomes of secondary endovascular repair for postdissection TAA\/TAAA","volume":"59","author":"Oikonomou","year":"2018","journal-title":"J. Cardiovasc. Surg."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"14","DOI":"10.5758\/vsi.210025","article-title":"Insights on Bridging Stent Grafts in Fenestrated and Branched Aortic Endografting","volume":"37","author":"Yoon","year":"2021","journal-title":"Vasc. Specialist Int."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/j.avsg.2020.10.052","article-title":"Bridging Stents in Fenestrated and Branched Endovascular Aneurysm Repair: A Systematic REVIEW","volume":"73","author":"Mezzetto","year":"2021","journal-title":"Ann. Vasc. Surg."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.ejvs.2021.04.013","article-title":"Optimising Target Vessel Patency after Complex Aortic Repair: Things We Know that We Know","volume":"62","author":"Resch","year":"2021","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1016\/j.jvs.2021.04.053","article-title":"Proportional meta-analysis of open surgery or fenestrated endograft repair for postdissection thoracoabdominal aneurysms","volume":"74","author":"Verzini","year":"2021","journal-title":"J. Vasc. Surg."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/2\/410\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:44:46Z","timestamp":1760103886000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/2\/410"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,11]]},"references-count":50,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,1]]}},"alternative-id":["jcm13020410"],"URL":"https:\/\/doi.org\/10.3390\/jcm13020410","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,11]]}}}