PMID- 36906134
OWN - NLM
STAT- MEDLINE
DCOM- 20230630
LR  - 20230702
IS  - 1535-7732 (Electronic)
IS  - 1051-0443 (Linking)
VI  - 34
IP  - 7
DP  - 2023 Jul
TI  - Risk Factors for Access-Related Adverse Events Related to the Preclose Technique 
      in Thoracic Endovascular Aortic Repair.
PG  - 1135-1142
LID - S1051-0443(23)00205-1 [pii]
LID - 10.1016/j.jvir.2023.03.002 [doi]
AB  - PURPOSE: To analyze the risk factors for access-related adverse events (AEs) of 
      the preclose technique in thoracic endovascular aortic repair (TEVAR). MATERIALS 
      AND METHODS: Ninety-one patients with Stanford type B aortic dissection who 
      underwent the preclose technique in TEVAR between January 2013 and December 2021 
      were included. According to the occurrence of access-related AEs, the patients 
      were divided into 2 groups: those with AE and those without AE. Age, sex, 
      combined diseases, body mass index, skin depth, femoral artery diameter, access 
      calcification, iliofemoral artery tortuosity, and sheath size were recorded for 
      risk factor analysis. The sheath-to-femoral artery ratio (SFAR), the ratio of the 
      femoral artery inner diameter (in millimeters) to the sheath's outer diameter (in 
      millimeters), was also included in the analysis. RESULTS: SFAR was identified as 
      an independent risk factor for AEs using multivariable logistic analysis (odds 
      ratio, 251.748; 95% CI, 7.004-9,048.534; P = .002). The cutoff value of SFAR was 
      0.85 and was related to a higher incidence of access-related AEs (5.2% vs 33.3%, 
      P = .001), especially to a higher stenosis rate (0.0% vs 21.2%, P = .001). 
      CONCLUSIONS: SFAR is an independent risk factor for access-related AEs of 
      preclose in TEVAR with a cutoff value of 0.85. SFAR could be a new criterion for 
      preoperative access evaluation in high-risk patients that may allow the detection 
      and treatment of access-related AEs at the early stage.
CI  - Copyright (c) 2023 SIR. Published by Elsevier Inc. All rights reserved.
FAU - Xie, Yi-Yun
AU  - Xie YY
AD  - Center of Interventional Radiology and Vascular Surgery, Department of Radiology, 
      Zhongda Hospital, Medical School, Southeast University, Nanjing, People's 
      Republic of China.
FAU - Qin, Yong-Lin
AU  - Qin YL
AD  - Center of Interventional Radiology and Vascular Surgery, Department of Radiology, 
      Zhongda Hospital, Medical School, Southeast University, Nanjing, People's 
      Republic of China. Electronic address: qinyl200801@163.com.
FAU - Ji, Jia-Jie
AU  - Ji JJ
AD  - Center of Interventional Radiology and Vascular Surgery, Department of Radiology, 
      Zhongda Hospital, Medical School, Southeast University, Nanjing, People's 
      Republic of China.
FAU - Bai, Zhi-Bin
AU  - Bai ZB
AD  - Center of Interventional Radiology and Vascular Surgery, Department of Radiology, 
      Zhongda Hospital, Medical School, Southeast University, Nanjing, People's 
      Republic of China.
FAU - Zhao, Guo-Feng
AU  - Zhao GF
AD  - Center of Interventional Radiology and Vascular Surgery, Department of Radiology, 
      Zhongda Hospital, Medical School, Southeast University, Nanjing, People's 
      Republic of China.
FAU - Deng, Gang
AU  - Deng G
AD  - Center of Interventional Radiology and Vascular Surgery, Department of Radiology, 
      Zhongda Hospital, Medical School, Southeast University, Nanjing, People's 
      Republic of China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230310
PL  - United States
TA  - J Vasc Interv Radiol
JT  - Journal of vascular and interventional radiology : JVIR
JID - 9203369
SB  - IM
MH  - Humans
MH  - Endovascular Aneurysm Repair
MH  - Tomography, X-Ray Computed
MH  - Treatment Outcome
MH  - Risk Factors
MH  - *Aortic Dissection/diagnostic imaging/surgery
MH  - *Endovascular Procedures/adverse effects/methods
MH  - Retrospective Studies
MH  - *Aortic Aneurysm, Thoracic/diagnostic imaging/surgery/etiology
MH  - *Blood Vessel Prosthesis Implantation/adverse effects/methods
EDAT- 2023/03/12 06:00
MHDA- 2023/06/30 06:42
CRDT- 2023/03/11 19:29
PHST- 2022/08/31 00:00 [received]
PHST- 2023/02/23 00:00 [revised]
PHST- 2023/03/02 00:00 [accepted]
PHST- 2023/06/30 06:42 [medline]
PHST- 2023/03/12 06:00 [pubmed]
PHST- 2023/03/11 19:29 [entrez]
AID - S1051-0443(23)00205-1 [pii]
AID - 10.1016/j.jvir.2023.03.002 [doi]
PST - ppublish
SO  - J Vasc Interv Radiol. 2023 Jul;34(7):1135-1142. doi: 10.1016/j.jvir.2023.03.002. 
      Epub 2023 Mar 10.