Why the study?
Does endovascular stent-graft implantation improve mid-term outcomes in patients with complicated type B aortic dissection compared to medical therapy in uncomplicated cases?
Population
56 patients with type B aortic dissection, mean age 59.5+/-11.5 years. Includes 28 uncomplicated cases and…
Comparison
Endovascular stent-graft implantation vs Hypotensive medical therapy
Design
Cohort
Follow-up
average 18.1+/-16.9 months
Authors
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May support stent-grafting in complicated type B dissection; leaves open randomized confirmation of outcome benefits versus medical therapy.
Does endovascular stent-graft implantation improve mid-term outcomes in patients with complicated type B aortic dissection compared to medical therapy in uncomplicated cases?
Endovascular stent-grafting for complicated type B aortic dissection promotes false lumen thrombosis and prevents aneurysmal dilatation better than medical therapy alone, despite early mortality risks.
Dialetto et al. (2005) studied this question.
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