{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T15:04:15Z","timestamp":1780671855807,"version":"3.54.1"},"reference-count":36,"publisher":"Maad Rayan Publishing Company","issue":"1","content-domain":{"domain":["jcvtr.tbzmed.ac.ir"],"crossmark-restriction":false},"short-container-title":["J Cardiovasc Thorac Res"],"published-print":{"date-parts":[[2026,3,30]]},"abstract":"<jats:p>Introduction: Thoracic endovascular aortic repair (TEVAR) has become the preferred treatment modality of thoracic aortic pathologies. Since survival outcomes are influenced by disease acuity and pathology, we aim to compare mid-term outcomes of TEVAR in the management of thoracic aortic aneurysms (TAA) vs. Stanford type-B aortic dissections (TBAD). Methods: Patients undergoing TEVAR (2010-2019) in the Vascular Quality Initiative-Medicare-linked database were included in this analysis. Patients were divided into two groups: TAA and TBAD. Postoperative outcomes included 30-day mortality, stroke, myocardial infarction (MI), and spinal cord ischemia (SCI). Mid-term outcomes included 1 and 2-year all-cause mortality, reintervention and rupture. Results: Of the 2105 patients undergoing TEVAR in this analysis, 1,492 (70.9%) had TAA while 613 (29.1%) had TBAD. The TBAD group had a significantly lower 30-day mortality (aOR:0.67,95%Cl:0.46-0.98,P=0.037), lower 1-year mortality (aHR:0.72,95%CI:0.57-0.90, P=0.004) and also at 2 years (aHR:0.79,95%CI:0.65-0.95, P=0.013). Within 1 year, patients with TBAD had a significantly higher incidence of aneurysm related reintervention (18.8% vs. 12.9%, P=0.003). This finding persisted at 2 years (24.9% vs. 19.7%, P&lt;0.001). There was no significant difference in rupture between groups at 2 years (4.1% vs. 3.4%, P=0.40). Conclusion: In this large multi-institutional study, patients undergoing TEVAR for TBAD had significantly lower postoperative mortality but a higher risk of reintervention at one and two years compared to patients with TAA. Additionally, both groups demonstrated a similar risk of rupture at both 1 and 2 years post-TEVAR. The rate of post-TEVAR rupture in both groups underscore the need for careful follow-up and reintervention as needed to maintain the integrity of the repair.<\/jats:p>","DOI":"10.34172\/jcvtr.026.33435","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T14:05:36Z","timestamp":1780668336000},"page":"38-45","update-policy":"https:\/\/doi.org\/10.34172\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mid-term outcomes associated with thoracic endovascular aortic repair and differences in outcomes for thoracic aortic aneurysms versus type B aortic dissections"],"prefix":"10.34172","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4808-3672","authenticated-orcid":true,"given":"Taiwo","family":"Dodo-Williams","sequence":"first","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Diego, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Willie-Permor","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Diego, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shima","family":"Rahgozar","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Diego, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac","family":"Naazie","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Department of Surgery, University at Buffalo, Buffalo, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Yei","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Diego, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2865-4079","authenticated-orcid":true,"given":"Mahmoud B.","family":"Malas","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Diego, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"20123","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-016-0658-8"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.09.062"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.10.086"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2005.11.004"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2021.755214"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.07.034"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.09.050"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.05.076"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.105.001479"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1161\/circinterventions.113.000463"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.11.013"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1253\/circj.71.1173"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Ho VT, Itoga NK, Tran K, Lee JT, Stern JR. 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