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Unable to enroll a sufficient number of patients
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The infection rate of thoracic endovascular aortic repair (TEVAR) is unknown due to a lack of epidemiological data. The rate currently available comes from researches conducted decades ago, when open surgery was the standard of care. Because of the potentially fatal consequences of a stent graft infection in the thoracic aorta, the investigators tend to prescribe antibiotic prophylaxis for at least three days. In this study, the investigators are going to collect data on patients receiving TEVAR in the past five years and provide the following information: a. the infection rate (MAGIC classification), b. the rate of fever, c. the results of the lab tests, such as the WBC count and C-reaction protein. d. risk factors associated with infection and fever.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients receiving TEVAR |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| thoracic endovascular aortic repair | Procedure | In The TEVAR procedure, we implant a stent graft into the diseased area of the thoracic artery, providing a route for the blood to flow within the stent graft and excluding the diseased aorta. |
| Measure | Description | Time Frame |
|---|---|---|
| Infection rate after TEVAR | Infection rate via MAGIC classification | during hospitalization (up to post-operation day 14) |
| Infection rate at one month after TEVAR | Infection rate via MAGIC classification | One month after TEVAR |
| Infection rate at six months after TEVAR | Infection rate via MAGIC classification | Six months after TEVAR |
| Infection rate at one year after TEVAR | Infection rate via MAGIC classification | One year after TEVAR |
| Measure | Description | Time Frame |
|---|---|---|
| Fever | Defined as temperature ≥38.5℃ | one day, two days, three days, one month, six months, one year after TEVAR |
| WBC count | one day, two days, three days after TEVAR |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who were diagnosed with thoracic aortic dissection, thoracic aortic aneurysm, thoracic aortic intramural hematoma, or other thoracic aortic diseases and underwent TEVAR during hospitalization
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital, College of Medicine, Zhejiang University | Hanzhou | Zhejiang | China |
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| ID | Term |
|---|---|
| D000784 | Aortic Dissection |
| D001018 | Aortic Diseases |
| D017545 | Aortic Aneurysm, Thoracic |
| D001017 | Aortic Coarctation |
| D006406 | Hematoma |
| D005334 | Fever |
| ID | Term |
|---|---|
| D000094665 | Dissection, Blood Vessel |
| D000783 | Aneurysm |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D000094682 | Endovascular Aneurysm Repair |
| ID | Term |
|---|---|
| D057510 | Endovascular Procedures |
| D014656 | Vascular Surgical Procedures |
| D013504 | Cardiovascular Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| C-reaction protein | one day after TEVAR |
| D000094683 |
| Acute Aortic Syndrome |
| D001014 | Aortic Aneurysm |
| D006330 | Heart Defects, Congenital |
| D018376 | Cardiovascular Abnormalities |
| D006331 | Heart Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001832 | Body Temperature Changes |
| D012816 | Signs and Symptoms |
| D019917 | Blood Vessel Prosthesis Implantation |
| D058017 | Vascular Grafting |
| D019060 | Minimally Invasive Surgical Procedures |
| D019919 | Prosthesis Implantation |