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March 5, 2019Mustafa Kemal Üniversitesi Tıp DergisiOpen Access

Short-term and Midterm Treatment Results in Stanford Type-B Acute Dissection Patients

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Why the study?

Stanford Type B acute aortic dissection carries high mortality with complex treatment choices influenced by duration and complication status.

Population

23 patients treated for Stanford Type B acute aortic dissection

Comparison

Medical treatment vs TEVAR vs open surgery

Design

Single-center retrospective study

Key result

In a cohort of 23 patients with Stanford Type B acute aortic dissection, total mortality was 13% and 30-day survival was 86.9%, with no mortality observed in the TEVAR group.

Authors

DDDeniz DemirNKNail Kahraman

Discussion

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Overview

Supports medical Rx for uncomplicated Type B-AAD and TEVAR for complicated; leaves open need for larger prospective data.

Study Design

Type

Observational (n=23)

Multicenter

No

Structured PICO

P
Population
23 patients with Stanford Type B acute aortic dissection treated with medical therapy, TEVAR, or open surgery, followed for an average of 11.65 months.
E
Exposure
Treatment strategy based on complication status: Conventional medical treatment (CMT) for uncomplicated cases; Thoracic endovascular aortic repair (TEVAR) or open surgery (OS) for complicated cases.
O
Outcome
Mortality and morbidity (cerebrovascular accident, paraplegia, paraparesis) classified as early (<30 days) and late complications (≥30 days).hard clinical

In a small retrospective cohort, treating uncomplicated Type B aortic dissection with medical therapy and complicated cases with TEVAR or open surgery resulted in an 86.9% 30-day survival rate.

Limitations

  • Single center study
  • Retrospective design
  • Small sample size
  • Limited follow-up duration
  • Limited number of patients

Cite This Study

Demir et al. (2019) conducted an observational in Stanford Type B acute aortic dissection (n=23). Treatment strategies (Conventional Medical Treatment, TEVAR, Open Surgery) was evaluated on Total mortality. In a cohort of 23 patients with Stanford Type B acute aortic dissection, total mortality was 13% and 30-day survival was 86.9%, with no mortality observed in the TEVAR group.

synapsesocial.com/papers/6a94f8bb397e3dbeede6157dhttps://doi.org/10.17944/mkutfd.499838
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