作者
Peter Chiu, Andrew B Goldstone, Justin M Schaffer, Bharathi Lingala, D Craig Miller, R Scott Mitchell, Y Joseph Woo, Michael P Fischbein, Michael D Dake
发表日期
2019/2/19
期刊
Journal of the American College of Cardiology
卷号
73
期号
6
页码范围
643-651
出版商
American College of Cardiology Foundation
简介
Background
For the management of descending thoracic aortic aneurysms, recent evidence has suggested that outcomes of open surgical repair may surpass thoracic endovascular aortic repair (TEVAR) in as early as 2 years.
Objectives
The purpose of this study was to evaluate the comparative effectiveness of TEVAR and open surgical repair in the treatment of intact descending thoracic aortic aneurysms.
Methods
Using the Medicare database, a retrospective study using regression discontinuity design and propensity score matching was performed on patients with intact descending thoracic aortic aneurysms who underwent TEVAR or open surgical repair between 1999 and 2010 with follow-up through 2014. Survival was assessed with restricted mean survival time. Perioperative mortality was assessed with logistic regression. Reintervention was evaluated as a secondary outcome.
Results
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