Abstract
Predictors of any SCI were age (odds ratio [OR], multiplies 1.3 per 10 years; 95% confidence interval [CI] 0.9-1.8; P 1⁄4 .06), aortic coverage length (OR multiplies 1.3 per 5 cm; 95% CI, 1.1-1.6; P 1⁄4 .002), chronic pulmonary disease (OR, 1.9; 95% CI, 0.9-4; P 1⁄4 .1), chronic renal insufficiency (creatinine $1.6; OR, 1.9; 95% CI, 0.8-4.2; P 1⁄4 .1), and hypertension (chart history and/or medication; OR, 6.4; 95% CI, 2.6-18; P < .0001). The final model included age, aortic coverage length, and hypertension with excellent discrimination (area under the curve 1⁄4 .84) and calibration (c 1⁄4 9.8; P 1⁄4 .28; Fig). Conclusions: This analysis yielded a simple model that reliably predicts SCI after TEVAR. This clinical tool can assist decision making regarding when to proceed with TEVAR, guide discussions about intervention risk, and help determine when maneuvers to mitigate SCI risk should be implemented.
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