Long-term survival and risk analysis of thoracic endovascular aortic repair for type B aortic dissection
Summary: To explore the safety and efficacy of thoracic endovascular aortic repair (TEVAR) in the treatment of patients with type B aortic dissection, and to evaluate the risk factors for long-term mortality. Our study retrospectively evaluated 729 patients with type B aortic dissection, who were di...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
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| Series: | iScience |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589004223024367 |
| _version_ | 1797388759239491584 |
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| author | Qian-hui Tang Jing Chen Zhen Long Xuan-an Su Yu-Lin Wang Jian-ye Qiu Zhong Qin Han Yang Que Li Ming Hu Xiao Qin |
| author_facet | Qian-hui Tang Jing Chen Zhen Long Xuan-an Su Yu-Lin Wang Jian-ye Qiu Zhong Qin Han Yang Que Li Ming Hu Xiao Qin |
| author_sort | Qian-hui Tang |
| collection | DOAJ |
| description | Summary: To explore the safety and efficacy of thoracic endovascular aortic repair (TEVAR) in the treatment of patients with type B aortic dissection, and to evaluate the risk factors for long-term mortality. Our study retrospectively evaluated 729 patients with type B aortic dissection, who were divided into the thoracic endovascular aortic repair group and the optimal medical treatment group according to their treatment. In-hospital mortality, death within 30 days, and aortic-related mortality were lower in the thoracic endovascular aortic repair group than in the optimal medical treatment group (p < 0.05). The cumulative overall survival rates for the thoracic endovascular aortic repair group at 1 year, 5 years, and 10 years were 92.5%, 84.1%, and 73.5%, respectively. The Cox analysis found that TEVAR was beneficial in reducing mortality and that a vertical length of the dissection exceeding 150 mm was a risk factor for mortality. |
| first_indexed | 2024-03-08T22:45:28Z |
| format | Article |
| id | doaj.art-a5ff0cfb3a9644e8802e46df3ca72cf9 |
| institution | Directory Open Access Journal |
| issn | 2589-0042 |
| language | English |
| last_indexed | 2024-03-08T22:45:28Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | iScience |
| spelling | doaj.art-a5ff0cfb3a9644e8802e46df3ca72cf92023-12-17T06:40:29ZengElsevieriScience2589-00422023-12-012612108359Long-term survival and risk analysis of thoracic endovascular aortic repair for type B aortic dissectionQian-hui Tang0Jing Chen1Zhen Long2Xuan-an Su3Yu-Lin Wang4Jian-ye Qiu5Zhong Qin6Han Yang7Que Li8Ming Hu9Xiao Qin10Department of Vascular and Endovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, ChinaDepartment of Vascular and Endovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, ChinaDepartment of Vascular and Endovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, ChinaDepartment of Vascular and Endovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, ChinaDepartment of Vascular and Endovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, ChinaDepartment of Vascular and Endovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, ChinaDepartment of Vascular and Endovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, ChinaDepartment of Vascular and Endovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, ChinaDepartment of Vascular and Endovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, ChinaDepartment of Vascular and Endovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, ChinaDepartment of Vascular and Endovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China; Corresponding authorSummary: To explore the safety and efficacy of thoracic endovascular aortic repair (TEVAR) in the treatment of patients with type B aortic dissection, and to evaluate the risk factors for long-term mortality. Our study retrospectively evaluated 729 patients with type B aortic dissection, who were divided into the thoracic endovascular aortic repair group and the optimal medical treatment group according to their treatment. In-hospital mortality, death within 30 days, and aortic-related mortality were lower in the thoracic endovascular aortic repair group than in the optimal medical treatment group (p < 0.05). The cumulative overall survival rates for the thoracic endovascular aortic repair group at 1 year, 5 years, and 10 years were 92.5%, 84.1%, and 73.5%, respectively. The Cox analysis found that TEVAR was beneficial in reducing mortality and that a vertical length of the dissection exceeding 150 mm was a risk factor for mortality.http://www.sciencedirect.com/science/article/pii/S2589004223024367SurgeryCardiovascular medicinePublic health |
| spellingShingle | Qian-hui Tang Jing Chen Zhen Long Xuan-an Su Yu-Lin Wang Jian-ye Qiu Zhong Qin Han Yang Que Li Ming Hu Xiao Qin Long-term survival and risk analysis of thoracic endovascular aortic repair for type B aortic dissection iScience Surgery Cardiovascular medicine Public health |
| title | Long-term survival and risk analysis of thoracic endovascular aortic repair for type B aortic dissection |
| title_full | Long-term survival and risk analysis of thoracic endovascular aortic repair for type B aortic dissection |
| title_fullStr | Long-term survival and risk analysis of thoracic endovascular aortic repair for type B aortic dissection |
| title_full_unstemmed | Long-term survival and risk analysis of thoracic endovascular aortic repair for type B aortic dissection |
| title_short | Long-term survival and risk analysis of thoracic endovascular aortic repair for type B aortic dissection |
| title_sort | long term survival and risk analysis of thoracic endovascular aortic repair for type b aortic dissection |
| topic | Surgery Cardiovascular medicine Public health |
| url | http://www.sciencedirect.com/science/article/pii/S2589004223024367 |
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