Evidence map›Paper›PMID 41141481›Full record

ArticleInternational journal of cardiology. Heart & vasculature2025

Thoracic endovascular aortic repair for traumatic and non-traumatic rupture of the descending thoracic aorta: A 15-year single-centre experience.

Ricarda Berkenheide, Rolf Alexander Jánosi, Fadi Al-Rashid, Daniel Messiha, Konstantinos Tsagakis, Christos Rammos, Sharaf-Eldin Shehada, Payam Akhyari, Thomas Schlosser, Tienush Rassaf and 1 more

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Article in International journal of cardiology. Heart & vasculature, 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

11 authors.

Ricarda BerkenheideDepartment of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany. This author takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.
Rolf Alexander JánosiDepartment of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany. This author takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.
Fadi Al-RashidDepartment of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany. This author takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.
Daniel MessihaDepartment of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany. This author takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.
Konstantinos TsagakisDepartment of Thoracic and Cardiovascular Surgery, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany. This author takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.
Christos RammosDepartment of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany. This author takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.
Sharaf-Eldin ShehadaDepartment of Thoracic and Cardiovascular Surgery, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany. This author takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.
Payam AkhyariDepartment of Thoracic and Cardiovascular Surgery, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany. This author takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.
Thomas SchlosserDepartment of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany. This author takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.
Tienush RassafDepartment of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany. This author takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.
Julia LortzDepartment of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany. This author takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ruptures of the descending thoracic aorta are life-threatening emergencies with traumatic and non-traumatic causes. Thoracic endovascular aortic repair (TEVAR) has become a key treatment, but long-term outcome data remain limited. This study aimed to review our experience with TEVAR in patients with traumatic or non-traumatic rupture and identify factors associated with post-TEVAR survival. Methods: Between 2001 and 2016, 56 patients (21 with traumatic rupture and 35 with non-traumatic rupture) underwent TEVAR at the West-German Heart and Vascular Center Essen, Germany. Data examined included demographics, comorbidities, biomarker levels, imaging results, intervention details, complications, and outcomes (30 days and follow-up). Results: Patients with non-traumatic rupture were significantly older and had more cardiovascular comorbidities. Patients with traumatic rupture presented more frequently with hemodynamic shock and mediastinal hematoma (47 %). Left subclavian artery coverage was more common in traumatic rupture (57.1 % vs. 18.2 %). Long-term aortic complications were more frequent in non-traumatic rupture (33.3 % vs. 0 %). Patients with traumatic rupture showed significantly longer survival. The overall 30-day mortality was 14.3 % (4.7 % in traumatic rupture patients vs. 20 % in non-traumatic rupture patients) and long-term mortality was 64.5 % (33.3 % in traumatic rupture patients vs. 84.2 % in non-traumatic rupture patients). Age, hypertension, complications, and the aetiology of aortic rupture significantly affected survival. Conclusion: Patients with traumatic aortic rupture are younger, have healthier vessels, and show better outcomes after TEVAR. This may allow longer follow-up intervals in selected cases, while closer monitoring remains necessary for non-traumatic ruptures.

Indexed as

Acute aortic syndromeAorta, thoracicAortic ruptureRetrospective studiesTEVAR

Identifiers

PMID41141481
PMCPMC12553019

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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.