Key result
Iatrogenic acute aortic dissection type A was associated with similar 30-day mortality compared to spontaneous acute aortic dissection type A (16% vs 17%, P=0.53).
Why the study?
Does surgical therapy for iatrogenic acute aortic dissection type A result in similar 30-day outcomes compared to spontaneous acute aortic dissection type A?
Population
2,137 patients with acute aortic dissection type A from the German Registry for Acute Aortic Dissection Type A
Comparison
Surgical therapy for iatrogenic acute aortic… vs Surgical therapy for spontaneous acute aortic…
Design
Cohort
Follow-up
30 days
Authors
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Supports surgical repair for iatrogenic type A dissection; leaves open need for prospective confirmation before changing practice.
Observational (n=2,137)
Yes
Does surgical therapy for iatrogenic acute aortic dissection type A result in similar 30-day outcomes compared to spontaneous acute aortic dissection type A?
Absolute Event Rate: 16% vs 17%
p-value: p=0.53
Immediate surgical therapy for iatrogenic acute aortic dissection type A yields acceptable 30-day mortality rates comparable to those of spontaneous aortic dissection.
Rylski et al. (2013) conducted an observational in Acute aortic dissection type A (n=2,137). Iatrogenic acute aortic dissection type A (iAADA) vs. Spontaneous acute aortic dissection type A (sAADA) was evaluated on 30-day mortality (p=0.53). Iatrogenic acute aortic dissection type A was associated with similar 30-day mortality compared to spontaneous acute aortic dissection type A (16% vs 17%, P=0.53).
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