Assessment of the quality of life comparison between open and endovascular aortic arch surgery: a pilot study

Abstract Background Advancement in endovascular endografts have paved the way to the possibility of performing endovascular aortic arch repair in recent years. This has started to supersede the need for open aortic arch surgery. There remains a paucity of data looking into the quality of life compar...

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Main Authors: Eric Thiam Aik Lim, Hannah S. Kim, Andrew McCombie, Andrew D. P. Laing, Adib Khanafer
Format: Article
Language:English
Published: BMC 2024-12-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13019-024-03263-z
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author Eric Thiam Aik Lim
Hannah S. Kim
Andrew McCombie
Andrew D. P. Laing
Adib Khanafer
author_facet Eric Thiam Aik Lim
Hannah S. Kim
Andrew McCombie
Andrew D. P. Laing
Adib Khanafer
author_sort Eric Thiam Aik Lim
collection DOAJ
description Abstract Background Advancement in endovascular endografts have paved the way to the possibility of performing endovascular aortic arch repair in recent years. This has started to supersede the need for open aortic arch surgery. There remains a paucity of data looking into the quality of life comparison between open aortic arch surgery and endovascular aortic arch repair. Method A retrospective, observational pilot study was performed on patients who underwent endovascular inner branched aortic arch repair and open aortic arch surgery. Patients completed the RAND SF-36 questionnaire at the 6 week follow-up post-surgery. Mean score across all eight subscales were compared to the New Zealand population norm based on the New Zealand Health Survey as cited in the SoFIE-Health study. Results A total of 12 patients were included in this study over a 3 year period. We demonstrated that endovascular aortic arch repair is associated with a better quality of life compared to open aortic arch surgery across all eight subscales. Pain scores were found to be higher than the population normal in the endovascular aortic arch repair group while the open aortic arch surgery group had a score lower than the population norm (P < 0.01). Conclusion There appears to be a trend towards better quality of life following endovascular aortic arch repair compared to open aortic arch repair.
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spelling doaj-art-e6ac3b904bce430ba42718f905da3b9f2025-01-05T12:45:46ZengBMCJournal of Cardiothoracic Surgery1749-80902024-12-011911510.1186/s13019-024-03263-zAssessment of the quality of life comparison between open and endovascular aortic arch surgery: a pilot studyEric Thiam Aik Lim0Hannah S. Kim1Andrew McCombie2Andrew D. P. Laing3Adib Khanafer4Department of Vascular, Endovascular and Transplant Surgery, Christchurch HospitalDepartment of Vascular, Endovascular and Transplant Surgery, Christchurch HospitalDepartment of Surgery, University of Otago ChristchurchDepartment of Radiology, Christchurch HospitalDepartment of Vascular, Endovascular and Transplant Surgery, Christchurch HospitalAbstract Background Advancement in endovascular endografts have paved the way to the possibility of performing endovascular aortic arch repair in recent years. This has started to supersede the need for open aortic arch surgery. There remains a paucity of data looking into the quality of life comparison between open aortic arch surgery and endovascular aortic arch repair. Method A retrospective, observational pilot study was performed on patients who underwent endovascular inner branched aortic arch repair and open aortic arch surgery. Patients completed the RAND SF-36 questionnaire at the 6 week follow-up post-surgery. Mean score across all eight subscales were compared to the New Zealand population norm based on the New Zealand Health Survey as cited in the SoFIE-Health study. Results A total of 12 patients were included in this study over a 3 year period. We demonstrated that endovascular aortic arch repair is associated with a better quality of life compared to open aortic arch surgery across all eight subscales. Pain scores were found to be higher than the population normal in the endovascular aortic arch repair group while the open aortic arch surgery group had a score lower than the population norm (P < 0.01). Conclusion There appears to be a trend towards better quality of life following endovascular aortic arch repair compared to open aortic arch repair.https://doi.org/10.1186/s13019-024-03263-zQuality of lifeAortaAorticArch branchFrozen elephant trunk
spellingShingle Eric Thiam Aik Lim
Hannah S. Kim
Andrew McCombie
Andrew D. P. Laing
Adib Khanafer
Assessment of the quality of life comparison between open and endovascular aortic arch surgery: a pilot study
Journal of Cardiothoracic Surgery
Quality of life
Aorta
Aortic
Arch branch
Frozen elephant trunk
title Assessment of the quality of life comparison between open and endovascular aortic arch surgery: a pilot study
title_full Assessment of the quality of life comparison between open and endovascular aortic arch surgery: a pilot study
title_fullStr Assessment of the quality of life comparison between open and endovascular aortic arch surgery: a pilot study
title_full_unstemmed Assessment of the quality of life comparison between open and endovascular aortic arch surgery: a pilot study
title_short Assessment of the quality of life comparison between open and endovascular aortic arch surgery: a pilot study
title_sort assessment of the quality of life comparison between open and endovascular aortic arch surgery a pilot study
topic Quality of life
Aorta
Aortic
Arch branch
Frozen elephant trunk
url https://doi.org/10.1186/s13019-024-03263-z
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AT hannahskim assessmentofthequalityoflifecomparisonbetweenopenandendovascularaorticarchsurgeryapilotstudy
AT andrewmccombie assessmentofthequalityoflifecomparisonbetweenopenandendovascularaorticarchsurgeryapilotstudy
AT andrewdplaing assessmentofthequalityoflifecomparisonbetweenopenandendovascularaorticarchsurgeryapilotstudy
AT adibkhanafer assessmentofthequalityoflifecomparisonbetweenopenandendovascularaorticarchsurgeryapilotstudy