Comparing Neurological Complications Between Endovascular and Open Surgical Repair of Descending Thoracic Aortic Aneurysms

Raiyan Talukder; Kristina Montez; Maham Rahimi; Amir Faraji; Dimitry Sayenko

doi:10.1016/j.jvs.2025.03.283

Comparing Neurological Complications Between Endovascular and Open Surgical Repair of Descending Thoracic Aortic Aneurysms

Raiyan Talukder, Kristina Montez, Maham Rahimi, Amir Faraji, Dimitry Sayenko

Research output: Contribution to journal › Article › peer-review

Abstract

Objective
Descending thoracic aortic aneurysm (DTAA) is a pathologic dilation of the thoracic aorta requiring surgical intervention. Endovascular repair is a minimally invasive procedure involving stent graft placement over the affected aorta. Open repair is a more invasive surgery that replaces the aneurysm with a graft. We aim to compare neurological morbidity between the two approaches.
Methods
We utilized TriNetX, a deidentified patient database, to query adult patients with DTAAs from 2000 to 2024. ICD10PCS codes 02VW3DZ and 02QW0ZZ were used to group endovascular and open patients, respectively. Propensity score matching was conducted for age, sex, and various comorbidities, including cigarette usage, obesity, and health conditions. We studied spinal cord ischemia (SCI), cerebral hemorrhages, stroke, laryngeal nerve paralysis (LNP), critical illness polyneuropathy (CIP), and mortality within 30 …

Original language	English (US)
Pages (from-to)	e144
Journal	Journal of Vascular Surgery
Volume	81
Issue number	6
DOIs	https://doi.org/10.1016/j.jvs.2025.03.283
State	Published - Jun 1 2025

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title = "Comparing Neurological Complications Between Endovascular and Open Surgical Repair of Descending Thoracic Aortic Aneurysms",

abstract = "Objective Descending thoracic aortic aneurysm (DTAA) is a pathologic dilation of the thoracic aorta requiring surgical intervention. Endovascular repair is a minimally invasive procedure involving stent graft placement over the affected aorta. Open repair is a more invasive surgery that replaces the aneurysm with a graft. We aim to compare neurological morbidity between the two approaches. Methods We utilized TriNetX, a deidentified patient database, to query adult patients with DTAAs from 2000 to 2024. ICD10PCS codes 02VW3DZ and 02QW0ZZ were used to group endovascular and open patients, respectively. Propensity score matching was conducted for age, sex, and various comorbidities, including cigarette usage, obesity, and health conditions. We studied spinal cord ischemia (SCI), cerebral hemorrhages, stroke, laryngeal nerve paralysis (LNP), critical illness polyneuropathy (CIP), and mortality within 30 …",

author = "Raiyan Talukder and Kristina Montez and Maham Rahimi and Amir Faraji and Dimitry Sayenko",

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doi = "10.1016/j.jvs.2025.03.283",

language = "English (US)",

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TY - JOUR

T1 - Comparing Neurological Complications Between Endovascular and Open Surgical Repair of Descending Thoracic Aortic Aneurysms

AU - Talukder, Raiyan

AU - Montez, Kristina

AU - Rahimi, Maham

AU - Faraji, Amir

AU - Sayenko, Dimitry

PY - 2025/6/1

Y1 - 2025/6/1

N2 - Objective Descending thoracic aortic aneurysm (DTAA) is a pathologic dilation of the thoracic aorta requiring surgical intervention. Endovascular repair is a minimally invasive procedure involving stent graft placement over the affected aorta. Open repair is a more invasive surgery that replaces the aneurysm with a graft. We aim to compare neurological morbidity between the two approaches. Methods We utilized TriNetX, a deidentified patient database, to query adult patients with DTAAs from 2000 to 2024. ICD10PCS codes 02VW3DZ and 02QW0ZZ were used to group endovascular and open patients, respectively. Propensity score matching was conducted for age, sex, and various comorbidities, including cigarette usage, obesity, and health conditions. We studied spinal cord ischemia (SCI), cerebral hemorrhages, stroke, laryngeal nerve paralysis (LNP), critical illness polyneuropathy (CIP), and mortality within 30 …

AB - Objective Descending thoracic aortic aneurysm (DTAA) is a pathologic dilation of the thoracic aorta requiring surgical intervention. Endovascular repair is a minimally invasive procedure involving stent graft placement over the affected aorta. Open repair is a more invasive surgery that replaces the aneurysm with a graft. We aim to compare neurological morbidity between the two approaches. Methods We utilized TriNetX, a deidentified patient database, to query adult patients with DTAAs from 2000 to 2024. ICD10PCS codes 02VW3DZ and 02QW0ZZ were used to group endovascular and open patients, respectively. Propensity score matching was conducted for age, sex, and various comorbidities, including cigarette usage, obesity, and health conditions. We studied spinal cord ischemia (SCI), cerebral hemorrhages, stroke, laryngeal nerve paralysis (LNP), critical illness polyneuropathy (CIP), and mortality within 30 …

U2 - 10.1016/j.jvs.2025.03.283

DO - 10.1016/j.jvs.2025.03.283

M3 - Article

SN - 0741-5214

VL - 81

SP - e144

JO - Journal of Vascular Surgery

JF - Journal of Vascular Surgery

IS - 6

ER -

Comparing Neurological Complications Between Endovascular and Open Surgical Repair of Descending Thoracic Aortic Aneurysms

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