Incidence and Predictors of Early Neurological Complications Following Thoracic Endovascular Aneurysm Repair in the Global Registry for Endovascular Aortic Treatment (Great)

Abstract

Introduction-Branched thoracic endovascular aortic repair (b-TEVAR) has revolutionized the treatment of aortic arch

Predictors of Neurological Complications After Transthoracic Endovascular Aneurysm Repair: More Questions than Answers

“…In the current issue of EJVES, Piazza et al 2 investigate the incidence and predictors of early and mid term neurological complications following TEVAR in a study based on prospectively collected data from 833 patients included in the Global Registry for Endovascular Aortic Treatment (GREAT) registry. The large number of patients and the prospective collection of the data are the main strengths of the study.…”

“…Another gap in the literature that Piazza et al 2 have tried to fill is the lack of data on the mid term incidence of CVA and spinal cord injury after TEVAR. Although rare, these complications continued to occur after the peri-operative period and were associated with LSA coverage and the length of the endograft.…”

“…Although rare, these complications continued to occur after the peri-operative period and were associated with LSA coverage and the length of the endograft. The take home message is that technical issues not only determine peri-operative complications, but also the mid term outcome, and, in this context, Piazza et al 2 have to be commended for reminding us of this basic surgical rule.…”