Why the study?
Does upfront endovascular reperfusion followed by delayed open repair reduce mortality in patients with acute type A aortic dissection and malperfusion syndrome compared to expected outcomes of immediate open repair?
Does upfront endovascular reperfusion followed by delayed open repair reduce mortality in patients with acute type A aortic dissection and malperfusion syndrome compared to expected outcomes of immediate open repair?
A staged approach of upfront endovascular reperfusion followed by delayed open repair for acute type A aortic dissection with malperfusion syndrome results in lower mortality than expected with immediate open repair.
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Supports staged endovascular-first approach in malperfusion; leaves open randomized confirmation versus immediate repair.
Yang et al. (2018) studied this question.
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