Key result
TEVAR demonstrates 100% entry tear closure in uncomplicated TBAD, alongside false lumen thrombosis and shrinkage.
Why the study?
Does TEVAR aimed at entry closure improve aortic remodeling in patients with subacute and chronic type B aortic dissection?
Observational (n=10)
No
Does TEVAR aimed at entry closure improve aortic remodeling in patients with subacute and chronic type B aortic dissection?
TEVAR for subacute and chronic type B aortic dissection successfully achieved entry closure and promoted favorable aortic remodeling, though complete false lumen thrombosis was not achieved and retrograde dissection remains a risk.
Should not yet change practice for subacute or chronic type B aortic dissection; hypothesis-generating for TEVAR remodeling in small case series.
要旨：亜急性期および慢性期のb 型大動脈解離10 例（偽腔開存型8 例，ulp 型2 例）に対してエントリー閉鎖を目的としたtevar を施行した。7 例で頸部動脈バイパス術を併施した。エントリー閉鎖は全症例で3 カ月以内に得られ，脊髄麻痺を認めた症例はなかったが，1 例で術後37 日目に逆行性a 型解離に対して弓部置換術を施行した。術後，完全な偽腔の血栓化は得られていないが，偽腔径の縮小，真腔径の拡大を認めている。
No takes yet. Share an insight, caveat, or question.
Ishigaki et al. (2015) conducted an observational in Uncomplicated type B aortic dissection (n=10). Thoracic Endovascular Aortic Repair (TEVAR) was evaluated on Closure of entry tear.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: