Evidence map›Paper›PMID 41014499›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2025

Hybrid Thoracoabdominal Aortic Aneurysm Repair After Prior Abdominal Aortic Aneurysm Repair: Safety and Outcomes.

Kazuhiro Ueno, Takashi Shuto, Takayuki Kawashima, Tomoyuki Wada, Katsuki Oji, Takeaki Dotsu, Norio Hongo, Yoshiki Asayama, Shinji Miyamoto

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Interdisciplinary cardiovascular and thoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kazuhiro UenoDepartment of Cardiovascular Surgery, Faculty of Medicine, Oita University, Oita, 879-5593, Japan.ORCID 0009-0004-6908-4537
Takashi ShutoDepartment of Cardiovascular Surgery, Faculty of Medicine, Oita University, Oita, 879-5593, Japan.
Takayuki KawashimaDepartment of Cardiovascular Surgery, Faculty of Medicine, Oita University, Oita, 879-5593, Japan.ORCID 0000-0003-1631-8497
Tomoyuki WadaDepartment of Cardiovascular Surgery, Faculty of Medicine, Oita University, Oita, 879-5593, Japan.
Katsuki OjiDepartment of Radiology, Faculty of Medicine, Oita University, Oita, 879-5593, Japan.
Takeaki DotsuDepartment of Radiology, Faculty of Medicine, Oita University, Oita, 879-5593, Japan.
Norio HongoDepartment of Radiology, Faculty of Medicine, Oita University, Oita, 879-5593, Japan.
Yoshiki AsayamaDepartment of Radiology, Faculty of Medicine, Oita University, Oita, 879-5593, Japan.
Shinji MiyamotoDepartment of Cardiovascular Surgery, Faculty of Medicine, Oita University, Oita, 879-5593, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHybrid repair of thoracoabdominal aortic aneurysms (TAAA), combining visceral debranching and thoracic endovascular aortic repair, is a less invasive alternative to open surgery. However, data on long-term outcomes, especially in patients with prior open abdominal aortic aneurysm (AAA) repair, are limited. This study compares outcomes of hybrid TAAA repair in patients undergoing concomitant AAA repair vs those with prior open AAA repair.

methodsBetween January 2007 and January 2024, 132 TAAA repairs were performed at our institution. We retrospectively analysed 80 patients who underwent hybrid TAAA repair. After excluding emergency cases and those without AAA repair, 67 patients were included: 50 with concomitant AAA repair (Group C) and 17 with prior open AAA repair (Group P). Perioperative outcomes, complications, and long-term survival and aortic event-free rates were compared between groups.

resultsThe median age was 72.0 years (IQR: 65.0-80.8) in Group C and 75.0 years (IQR: 70.0-82.0) in Group P (P = .34). Hospital mortality was 3.0% overall, with no significant group differences. Mean follow-up was 5.0 ± 3.1 years. Five-year overall survival was 69% in Group C and 63% in Group P (P = .22). Freedom from aortic events at 5 years was 92% in Group C and 83% in Group P (P = .19). IPTW-adjusted analyses confirmed no significant differences between the groups.

conclusionsHybrid TAAA repair can be safely performed for patients with prior AAA open repair, with acceptable long-term outcomes after appropriate patient selection.

Indexed as

Aortic Aneurysm, AbdominalAortic Aneurysm, ThoracicBlood Vessel Prosthesis ImplantationEndovascular ProceduresAgedAged, 80 and overAortic Aneurysm, ThoracoabdominalFemaleHospital MortalityHumansMalePostoperative ComplicationsRetrospective StudiesRisk AssessmentRisk FactorsTime Factorsabdominal aortic aneurysm repairendovascular aortic aneurysm repairhybrid repairthoracoabdominal aortic aneurysm

Identifiers

PMID41014499
PMCPMC12512131

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.