Outcomes up to 81  months after celiac artery coverage during XXXX repair.

@entity1 @entity353 @entity63 @entity260 @entity2334 @entity439 @entity2759 @entity204 @entity6029
OBJECTIVE: Coverage of celiac artery (CA) during @entity2334 repair (TEVAR) has been performed to extend the distal seal zone for which preliminary results and short-term follow-up have been reported. We aim to show the outcomes up to 81  months after CA coverage during TEVAR. METHODS: @entity1 undergoing TEVAR with coverage of the CA origin from 2005 to 2013 were retrospectively analyzed. Points of analysis include indications for covering the CA, demonstration of collateral circulation between the CA and @entity6029 ( @entity6029 ), anatomic features of the distal landing zone, rate of reintervention, technical success, presence of clinical @entity63 symptoms after the procedure, and mortality. RESULTS: During the 9-year period, 366 @entity1 underwent TEVAR, 18 (5%) of whom had CA coverage. Eleven (61%) had TEVAR with CA coverage due to a @entity439 , three (17%) had thoracic aortic dissection related to @entity439 , and four (22%) had previous TEVAR with a type Ib endoleak (EL) requiring distal coverage. Mesenteric angiography in preparation for TEVAR with CA coverage diagnosed a @entity6029 in one @entity1 that was treated with stenting before the index procedure. At the conclusion of the indicated procedure, two @entity1 (11%) had a type Ia EL and two @entity1 (11%) had a type Ib EL. Three of the type I ELs required reintervention. Two @entity1 (11%) had a type II EL, both of which were managed with observation and resolved. Reintervention was required in 27% of @entity1 . @entity260 included @entity63 in 2 (11%), @entity353 in 1 (5%), @entity2759 in 2 (11%), a cerebrovascular event in 1 (6%), and @entity204 in 1 (6%). The mean follow-up period was 38  months (range, 0.5-81  months). CONCLUSIONS: This analysis of outcomes up to 81  months supports the suitability of covering the CA in selected @entity1 for extending the distal landing zone to the visceral aortic level above the @entity6029 or when alternative branch vessel treatment is unavailable. Preoperative angiographic evaluation of the mesenteric collaterals and early postoperative surveillance may limit @entity260 . Once the CA is covered, new symptoms do not develop unless the @entity6029 is compromised.
