Endoluminal stent-graft placement in patients with acute aortic dissection type B
Key result
Endoluminal stent-grafting successfully sealed the primary entry tear in 100% (9/9) of patients with acute type B aortic dissection, with no severe intraoperative complications.
Why the study?
Does endoluminal stent-graft placement improve aortic remodeling and safely seal the primary entry tear in patients with acute type B aortic dissection?
Population
9 patients with acute type B aortic dissection, mean age 63 years, 7 male. All had maximal aortic diameter…
Design
Case_series
Follow-up
Hospital stay (mean postoperative stay 7.6 days)
Authors
Discussion
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Implication
Stent-grafting feasible in small acute type B series; leaves open efficacy, durability, and need for randomized trials.
Study Design
Type
Observational (n=9)
Structured PICO
Does endoluminal stent-graft placement improve aortic remodeling and safely seal the primary entry tear in patients with acute type B aortic dissection?
P
Population
9 patients (mean age 63 years, 22% female) with acute type B aortic dissection and maximal aortic diameter ≥5.5 cm treated with endoluminal stent-grafting.
E
Exposure
Endoluminal stent-graft implantation (GORE Excluder or TALENT) introduced transfemorally across the primary entry tear.
O
Outcome
Feasibility, safety, and effectiveness (sealing of primary entry tear, thrombosis of false lumen, and changes in true/false lumen diameters)surrogate
Endoluminal stent-grafting is a feasible and effective method for sealing the primary entry tear and promoting favorable aortic remodeling in acute type B aortic dissection.
Cite This Study
Hutschala et al. (2002) conducted an observational in Acute aortic dissection type B (n=9). Endoluminal stent-graft placement was evaluated on Sealing of the primary entry tear. Endoluminal stent-grafting successfully sealed the primary entry tear in 100% (9/9) of patients with acute type B aortic dissection, with no severe intraoperative complications.