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omplicated Acute Type B Dissection : s Surgery Still the Best Option ? Report From the International Registry of Acute Aortic Dissection
| Content Provider | Semantic Scholar |
|---|---|
| Author | Fattori, Ossella Tsai, Thomas T. Myrmel, Truls Evangelista, R. Cooper, Jeanna V. Trimarchi, Santi Lovato, Luigi Kische, Stephan Eagle, Kim A. Isselbacher, M. Nienaber, Christoph A. |
| Copyright Year | 2008 |
| Abstract | esults Of the 571 patients with acute type B aortic dissection, 390 (68.3%) were treated medically, 9 (10.3%) with standard open surgery and 66 (11.6%) with an endovascular approach. Patients who nderwent emergency endovascular or open surgery were younger (mean age 58.8 years, p .001) than their counterparts treated conservatively, and had male preponderance and hypertenion in 76.9%. Patients submitted to surgery presented with a wider aortic diameter than patients reated by interventional techniques or by medical therapy (5.36 1.7 cm vs. 4.62 1.4 cm vs. .47 1.4 cm, p 0.003). In-hospital complications occurred in 20% of patients subjected to endoascular technique and in 40% of patients after open surgical repair. In-hospital mortality was signifcantly higher after open surgery (33.9%) than after endovascular treatment (10.6%, p 0.002). fter propensity and multivariable adjustment, open surgical repair was associated with an inependent increased risk of in-hospital mortality (odds ratio: 3.41, 95% confidence interval: .00 to 11.67, p 0.05). |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://www.interventions.onlinejacc.org/content/jint/1/4/395.full.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
