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A 20-Year Experience With Thoracic Endovascular Aortic Repair
This retrospective review summarizes a single institution experience with thoracic aortic endovascular stenting in 420 pts over 20 years. Indications were aneurysm (238), dissection (100) and trauma (39). 78% of pts were deemed to be at high risk for open repair. Mortality was 4.8%, stroke incidence was 5%, and cord ischemia was temporary in 7.9% and permanent in 1.7%. 10 year freedom from failure was 63%; failure was predicted by pre-existing renal failure, presentation with rupture, or need for arch intervention. 15 year survival was 32%.