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Thoracic Endovascular Repair for Acute Complicated Type B Aortic Dissections

Friday, February 1, 2019

Submitted by

Wei-Guo Ma

Source

Source Name: Journal of Vascular Surgery

Source URL: https://doi.org/10.1016/j.jvs.2018.05.234

Author(s)

Marie Elisabeth Stelzmueller, Richard Nolz, Stephane Mahr, Dietrich Beitzke, Florian Wolf, Martin Funovics, Guenther Laufer, Christian Loewe, Doris Hutschala, Marek P. Ehrlich

In this retrospective cohort study, Dr Ehrlich and his colleagues reported excellent early and long-term results of thoracic endovascular aortic repair (TEVAR) for 55 high-risk patients with life-threatening acute complicated type B aortic dissection. The mean age of patients was 52 ± 13 years. The indications for TEVAR included malperfusion (58%), aortic rupture (18%), or persistent untreatable pain with true lumen reduction or rapid aortic diameter enlargement (24%). The technical success was 91% and overall in-hospital mortality rate was 9%. At 5 years, survival was 75%, with 77% freedom from aorta-related death and 63% freedom from reintervention.