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May 26, 2014Journal of Cardiac Surgery

Risk Factors of Early and Late Mortality After Thoracic Endovascular Aortic Repair for Complicated Stanford B Acute Aortic Dissection

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Key result

Procedural type I endoleak (OR 7.71; 95% CI 1.75-34.01) and cardiac tamponade were significant predictors of early death after TEVAR for complicated Stanford B acute aortic dissection.

Population

62 patients with complicated Stanford B acute aortic dissection (AAD)

Design

Cohort

Authors

ZRZhongbao RuanElectrophysiologyLZLi ZhuFujian Medical UniversityYYYigang YinNantong University

Discussion

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Overview

These predictors in TEVAR for complicated type B dissection should not yet change practice; leaves open whether targeted interventions improve survival.

Study Design

Type

Observational (n=62)

Structured PICO

P
Population
62 patients with complicated Stanford B acute aortic dissection undergoing thoracic endovascular aortic repair.
E
Exposure
Thoracic endovascular aortic repair (TEVAR)
O
Outcome
Early and late mortalityhard clinical

Main Result

Odds Ratio: 7.71 (95% CI 1.75–34.01)

p-value: p=0.007

In patients undergoing TEVAR for complicated Stanford B acute aortic dissection, type I endoleak and cardiac tamponade predict early mortality, while false lumen rupture, postoperative MI, and acute renal failure predict late mortality.

Cite This Study

Ruan et al. (2014) conducted an observational in Complicated Stanford B acute aortic dissection (n=62). Procedural type I endoleak was evaluated on Early mortality (OR 7.71, 95% CI 1.75-34.01, p=0.007). Procedural type I endoleak (OR 7.71; 95% CI 1.75-34.01) and cardiac tamponade were significant predictors of early death after TEVAR for complicated Stanford B acute aortic dissection.

synapsesocial.com/papers/6a9e8755f835b2283e3800a5https://doi.org/10.1111/jocs.12377
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Also Consider

Synapse has enriched one closely related paper. Consider it for comparative context:

  1. 1The International Registry of Acute Aortic Dissection (IRAD)2000 · 3,666 citations