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TEVAR Triumphant in the Battle

      This population based cohort study demonstrated that the management of thoracic aortic aneurysms (TAA) in England has dramatically changed with the endovascular revolution in the last two decades.
      • Hanna L.
      • Sounderajah V.
      • Abdullah A.
      • Marshall D.
      • Salciccioli J.
      • Shalhoub J.
      • et al.
      Trends in thoracic aortic aneurysm hospital admissions, interventions and mortality in England between 1998 and 2020: an observational study.
      Using a national administrative dataset based on the International Statistical Classification of Diseases and Related Health Problems (ICD-9/ICD-10), Hanna et al. report a mean increase in hospitalisations for TAA of 6.4% per annum from 5.95 per 100 000 in 1998 to 14.36 per 100 000 in 2020 (p < .001). This was accompanied by an 11% increase per annum of total procedures performed for TAA, driven by an increase in thoracic endovascular aortic repair (TEVAR), from 0.26 per 100 000 procedures in 2006 to 2.15 per 100 000 procedures performed in 2020. Interestingly, the number of open surgical interventions performed during this period declined. It is expected that some of the additional endovascular procedures would be due to staged procedures and re-intervention, which unfortunately could not be confirmed from this dataset.
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      References

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