Document Detail


Endovascular repair of Stanford type B aortic dissection: early and mid-term outcomes of 121 cases.
MedLine Citation:
PMID:  19524463     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To analyse the early and mid-term outcomes of endovascular repair of Stanford type B aortic dissection (B-AD) and to compare the outcomes between acute type B aortic dissection (AAD) and chronic type B aortic dissection (CAD). METHODS: The cohort included 121 consecutive patients undergoing endovascular repair for AAD (group A, n=72) and CAD (group B, n=49) between January 2001 and December 2006. Follow-up with clinical examinations and computed tomography (CT) was performed post-intervention at 1, 6 and 12 months, and then yearly thereafter. RESULTS: In groups A and B, respectively, the procedure success rates were 88.9% and 77.6%; the rates of postoperative endoleak were 11.1% and 22.4%; the 30-day mortality rates were 1.4% and 8.2%; and the 30-day stroke rates were 4.2% and 2.0%. No postoperative spinal cord ischaemia (SCI) was observed. The mean follow-up periods for groups A and B were 14.4+/-11.0 months and 22.1+/-20.8 months, respectively. Late mortality was 1.5% in group A and 4.8% in group B. In group A, the rates of complete false lumen (FL) thrombosis at 1 month, 1 year and 2 years postoperatively were 32.3%, 51.4% and 53.8%, respectively, and in group B, 26.2%, 44.8%, and 50.0%, respectively. CONCLUSION: Endovascular repair is feasible for both AAD and CAD, with favourable short- and mid-term outcomes.
Authors:
C Guangqi; L Xiaoxi; C Wei; L Songqi; Y Chen; L Zilun; W Shenming
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-06-13
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  38     ISSN:  1532-2165     ISO Abbreviation:  -     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-14     Completed Date:  2009-09-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  422-6     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, PR China.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Aneurysm, Dissecting / mortality,  radiography,  surgery*
Aortic Aneurysm / mortality,  radiography,  surgery*
Aortography / methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / adverse effects,  instrumentation,  mortality
Chronic Disease
Feasibility Studies
Female
Humans
Kaplan-Meiers Estimate
Male
Middle Aged
Prosthesis Failure
Spinal Cord Ischemia / etiology
Stents
Stroke / etiology
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Comments/Corrections
Comment In:
Eur J Vasc Endovasc Surg. 2009 Oct;38(4):427-8   [PMID:  19615923 ]

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