Long-term survival and risk analysis of thoracic endovascular aortic repair for type B aortic dissection

被引:3
作者
Tang, Qian-hui [1 ]
Chen, Jing [1 ]
Long, Zhen [1 ]
Su, Xuan-an [1 ]
Wang, Yu-Lin [1 ]
Qiu, Jian-ye [1 ]
Qin, Zhong [1 ]
Yang, Han [1 ]
Li, Que [1 ]
Hu, Ming [1 ]
Qin, Xiao [1 ]
机构
[1] Guangxi Med Univ, Dept Vasc & Endovasc Surg, Affiliated Hosp 1, Nanning 530021, Guangxi, Peoples R China
关键词
STS REPORTING STANDARDS; VASCULAR-SURGERY SVS; INTERNATIONAL REGISTRY; THERAPY; SOCIETY; AGE;
D O I
10.1016/j.isci.2023.108359
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
To explore the safety and efficacy of thoracic endovascular aortic repair (TEVAR) in the treatment of patients with type B aortic dissection, and to evaluate the risk factors for long-term mortality. Our study retrospectively evaluated 729 patients with type B aortic dissection, who were divided into the thoracic endovascular aortic repair group and the optimal medical treatment group according to their treatment. In-hospital mortality, death within 30 days, and aortic-related mortality were lower in the thoracic endovascular aortic repair group than in the optimal medical treatment group (p < 0.05). The cumulative overall survival rates for the thoracic endovascular aortic repair group at 1 year, 5 years, and 10 years were 92.5%, 84.1%, and 73.5%, respectively. The Cox analysis found that TEVAR was beneficial in reducing mortality and that a vertical length of the dissection exceeding 150 mm was a risk factor for mortality.
引用
收藏
页数:11
相关论文
共 27 条
[1]   Endovascular Repair of Acute Uncomplicated Aortic Type B Dissection Promotes Aortic Remodelling: 1 Year Results of the ADSORB Trial [J].
Brunkwall, J. ;
Kasprzak, P. ;
Verhoeven, E. ;
Heijmen, R. ;
Taylor, P. ;
Alric, P. ;
Canaud, L. ;
Janotta, M. ;
Raithel, D. ;
Malina, M. ;
Resch, Ti ;
Eckstein, H. -H. ;
Ockert, S. ;
Larzon, T. ;
Carlsson, F. ;
Schumacher, H. ;
Classen, S. ;
Schaub, P. ;
Lammer, J. ;
Lonn, L. ;
Clough, R. E. ;
Rampoldi, V. ;
Trimarchi, S. ;
Fabiani, J. -N. ;
Boeckler, D. ;
Kotelis, D. ;
Boeckler, D. ;
Kotelis, D. ;
von Tenng-Kobligk, H. ;
Mangialardi, N. ;
Ronchey, S. ;
Dialetto, G. ;
Matoussevitch, V. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2014, 48 (03) :285-291
[2]   Editor's Choice - Long-term Survival and Risk Analysis in 136 Consecutive Patients With Type B Aortic Dissection Presenting to a Single Centre Over an 11 Year Period [J].
Clough, Rachel E. ;
Barilla, David ;
Delsart, Pascal ;
Ledieu, Guillaume ;
Spear, Rafaelle ;
Crichton, Siobhan ;
Vehier, Claire Mounier ;
Peacock, Janet ;
Sobocinski, Jonathan ;
Haulon, Stephan .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2019, 57 (05) :633-638
[3]  
Erbel R., 2014, The Task Force for the Diagnosis
[4]   Aneurysmal degeneration of type B aortic dissections after thoracic endovascular aortic repair: A systematic review [J].
Famularo, Marissa ;
Meyermann, Karol ;
Lombardi, Joseph V. .
JOURNAL OF VASCULAR SURGERY, 2017, 66 (03) :924-930
[5]   Survival After Endovascular Therapy in Patients With Type B Aortic Dissection A Report From the International Registry of Acute Aortic Dissection (IRAD) [J].
Fattori, Rossella ;
Montgomery, Daniel ;
Lovato, Luigi ;
Kische, Stephan ;
Di Eusanio, Marco ;
Ince, Hueseyin ;
Eagle, Kim A. ;
Isselbacher, Eric M. ;
Nienaber, Christoph A. .
JACC-CARDIOVASCULAR INTERVENTIONS, 2013, 6 (08) :876-882
[6]   Reporting standards for thoracic endovascular aortic repair (TEVAR) [J].
Fillinger, Mark F. ;
Greenberg, Roy K. ;
McKinsey, James F. ;
Chaikof, Elliot L. .
JOURNAL OF VASCULAR SURGERY, 2010, 52 (04) :1022-1033
[7]   A systematic review and meta-analysis of the incidence of acute aortic dissections in population-based studies [J].
Gouveia e Melo, Ryan ;
Mourao, Mariana ;
Caldeira, Daniel ;
Alves, Mariana ;
Lopes, Alice ;
Duarte, Antonio ;
Fernandes e Fernandes, Ruy ;
Pedro, Luis Mendes .
JOURNAL OF VASCULAR SURGERY, 2022, 75 (02) :709-720
[8]   Endovascular vs. Medical Management for Uncomplicated Acute and Subacute Type B Aortic Dissection: A Meta-analysis [J].
Hossack, Martin ;
Patel, Shaneel ;
Gambardella, Ivancarmine ;
Neequaye, Simon ;
Antoniou, George A. ;
Torella, Francesco .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2020, 59 (05) :794-807
[9]   TEVAR for complicated and uncomplicated type B aortic dissection-Systematic review and meta-analysis [J].
Howard, Callum ;
Sheridan, Jonathan ;
Picca, Leonardo ;
Reza, Sihab ;
Smith, Tristan ;
Ponnapalli, Anuradha ;
Calow, Rachel ;
Cross, Olivia ;
Iddawela, Sashini ;
George, Melvin ;
Livra Dias, Deidre ;
Srinivasan, Anand ;
Munir, Wahaj ;
Bashir, Mohammad ;
Idhrees, Mohammed .
JOURNAL OF CARDIAC SURGERY, 2021, 36 (10) :3820-3830
[10]   Influence of Age on Clinical Presentation, Therapeutic Options, and Outcome in Chinese Patients with Acute Aortic Dissection [J].
Huang, Bi ;
Chen, Zhaoran ;
Lu, Haisong ;
Zhao, Zhenhua ;
Hui, Rutai ;
Yang, Yanmin ;
Fan, Xiaohan .
INTERNATIONAL HEART JOURNAL, 2019, 60 (06) :1373-1380