Endovascular stent-graft treatment of aortic dissection: determinants of post-interventional outcome
Population
38 patients with acute and chronic type B aortic dissection, mean age 62+/-10 years, 32 male.
Design
Cohort
Follow-up
median 18 (1-57) months
Authors
Discussion
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Member takes
Implication
Acute presentation and ASA>3 status were associated with higher TEVAR mortality in type B AD; leaves optimal selection and timing open for prospective trials.
Structured PICO
P
Population
38 patients with acute (n=10) and chronic (n=28) type B aortic dissection (B-AD), mean age 62+/-10 years, 32 male.
I
Intervention
Endovascular stent-graft placement
O
Outcome
Post-interventional mortality (in-hospital mortality and overall survival)hard clinical
Endovascular stent-graft treatment for type B aortic dissection is feasible, but pre-operative clinical health status and acuity strongly determine post-interventional mortality, highlighting the need for careful patient selection.
Cite This Study
Eggebrecht et al. (2005) studied this question.