期刊
ANNALS OF THORACIC SURGERY
卷 86, 期 5, 页码 1707-1712出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.athoracsur.2008.06.074
关键词
-
资金
- National Institutes of Health [RO1 HL080010-01]
- NHMRC, Australia [379600, 431503]
- NHF, Australia
Complicated type B aortic dissection is a life-threatening condition. For the last decade, endovascular stent-graft placement has been increasingly used to treat this condition. We undertook a summary analysis of published studies reporting the outcome of stent-grafts to treat complicated type B dissection. Studies were identified from a literature search using the MEDLINE database, and included studies when 10 or more patients were reported and at least in-hospital mortality was presented. A total of 942 patients were included from 29 studies. All patients were reported to have complications requiring intervention ( hypotension in 17%). In-hospital mortality was 9% and other major complications (ie, stroke, paraplegia, conversion to type A dissection, bowel infarction, major amputation) occurred in 8.1%. Long-term follow-up was limited to a mean of 20 months. During this time, reintervention was required in 10.4% and aortic rupture was reported in 0.8%. Endovascular treatment of complicated acute type B aortic dissection seems to provide favorable initial outcomes and would seem to be a great addition to the treatment options for this condition. Further study of long-term outcomes is required. (Ann Thorac Surg 2008; 86: 1707-12) (C) 2008 by The Society of Thoracic Surgeons
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