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Five-year results for endovascular repair of acute complicated type B aortic dissection

Tuesday, January 14, 2014

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Source Name: Journal of Vascular Surgery


Jennifer M. Hanna, Nicholas D. Andersen, Asvin M. Ganapathi, Richard L. McCann, G. Chad Hughes et al.

The authors report their results with 50 consecutive patients who underwent TEVAR for management of acute complicated type B dissection between July 2005 and September 2012. In-hospital and 30-day mortality were 0%. The rates of stroke, permanent paraplegia/paraparesis, and new-onset dialysis were 2%, 2%, and 4%, respectively. Survival at 5 and 7 years was 84%. Thirteen (26%) patients required a total of 17 reinterventions; six were performed using open techniques and 11 with endovascular or hybrid methods. The authors report excellent outcomes of TEVAR for acute complicated type B dissection. Aortic reinterventions were required in one-quarter of patients, but no aortic-related deaths were observed, confirming the importance of life-long surveillance by an experienced aortic referral center.

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