A retrospective study of thoracic endovascular aortic repair timing in patients with uncomplicated type B dissection who have a smoking history
ObjectiveTo determine the optimal timing of thoracic endovascular aortic repair (TEVAR) for patients with uncomplicated type B dissections who have a smoking history.MethodsData from 308 consecutive patients with uncomplicated type B dissections, who have a smoking history and onset-to-TEVAR time wi...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.1035971/full |
| _version_ | 1811216457863790592 |
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| author | Hui-Qiang Gao Guoqi Li Hong-Kai Zhang Lan-Lin Zhang Shang-Dong Xu |
| author_facet | Hui-Qiang Gao Guoqi Li Hong-Kai Zhang Lan-Lin Zhang Shang-Dong Xu |
| author_sort | Hui-Qiang Gao |
| collection | DOAJ |
| description | ObjectiveTo determine the optimal timing of thoracic endovascular aortic repair (TEVAR) for patients with uncomplicated type B dissections who have a smoking history.MethodsData from 308 consecutive patients with uncomplicated type B dissections, who have a smoking history and onset-to-TEVAR time within 90 days, were analyzed. The patients were divided into two groups: Acute and subacute phases. Univariate and multivariate regression analyses were performed. Smooth curve fitting and threshold analysis were performed to characterize the relationship between the onset-to-TEVAR time and follow-up deaths.ResultsThere were no significant differences between the two groups. Smooth curve fitting and threshold effect analysis showed that if early TEVAR was performed within 9.4 days from onset, there was better long-term survival and there was no significant difference after 9.4 days.ConclusionBy studying the relationship between onset-to-TEVAR time and all-cause mortality, we found that early TEVAR may have a lower all-cause mortality rate during follow-up in uncomplicated type B dissection patients who have a smoking history and within 90 days from onset. |
| first_indexed | 2024-04-12T06:39:23Z |
| format | Article |
| id | doaj.art-b3d1f4703483471083b211dc987783ee |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-12T06:39:23Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-b3d1f4703483471083b211dc987783ee2022-12-22T03:43:45ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-11-01910.3389/fcvm.2022.10359711035971A retrospective study of thoracic endovascular aortic repair timing in patients with uncomplicated type B dissection who have a smoking historyHui-Qiang Gao0Guoqi Li1Hong-Kai Zhang2Lan-Lin Zhang3Shang-Dong Xu4Department of Cardiac Surgery, Beijing Anzhen Hospital, Beijing Institute of Heart Lung and Blood Vessel Diseases, Capital Medical University, Beijing, ChinaBeijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing, ChinaDepartment of Radiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, ChinaDepartment of Cardiac Surgery, Beijing Anzhen Hospital, Beijing Institute of Heart Lung and Blood Vessel Diseases, Capital Medical University, Beijing, ChinaDepartment of Cardiac Surgery, Beijing Anzhen Hospital, Beijing Institute of Heart Lung and Blood Vessel Diseases, Capital Medical University, Beijing, ChinaObjectiveTo determine the optimal timing of thoracic endovascular aortic repair (TEVAR) for patients with uncomplicated type B dissections who have a smoking history.MethodsData from 308 consecutive patients with uncomplicated type B dissections, who have a smoking history and onset-to-TEVAR time within 90 days, were analyzed. The patients were divided into two groups: Acute and subacute phases. Univariate and multivariate regression analyses were performed. Smooth curve fitting and threshold analysis were performed to characterize the relationship between the onset-to-TEVAR time and follow-up deaths.ResultsThere were no significant differences between the two groups. Smooth curve fitting and threshold effect analysis showed that if early TEVAR was performed within 9.4 days from onset, there was better long-term survival and there was no significant difference after 9.4 days.ConclusionBy studying the relationship between onset-to-TEVAR time and all-cause mortality, we found that early TEVAR may have a lower all-cause mortality rate during follow-up in uncomplicated type B dissection patients who have a smoking history and within 90 days from onset.https://www.frontiersin.org/articles/10.3389/fcvm.2022.1035971/fulloperative timeTEVARthoracic endovascular aortic repairuncomplicated type B dissectionsmoke |
| spellingShingle | Hui-Qiang Gao Guoqi Li Hong-Kai Zhang Lan-Lin Zhang Shang-Dong Xu A retrospective study of thoracic endovascular aortic repair timing in patients with uncomplicated type B dissection who have a smoking history Frontiers in Cardiovascular Medicine operative time TEVAR thoracic endovascular aortic repair uncomplicated type B dissection smoke |
| title | A retrospective study of thoracic endovascular aortic repair timing in patients with uncomplicated type B dissection who have a smoking history |
| title_full | A retrospective study of thoracic endovascular aortic repair timing in patients with uncomplicated type B dissection who have a smoking history |
| title_fullStr | A retrospective study of thoracic endovascular aortic repair timing in patients with uncomplicated type B dissection who have a smoking history |
| title_full_unstemmed | A retrospective study of thoracic endovascular aortic repair timing in patients with uncomplicated type B dissection who have a smoking history |
| title_short | A retrospective study of thoracic endovascular aortic repair timing in patients with uncomplicated type B dissection who have a smoking history |
| title_sort | retrospective study of thoracic endovascular aortic repair timing in patients with uncomplicated type b dissection who have a smoking history |
| topic | operative time TEVAR thoracic endovascular aortic repair uncomplicated type B dissection smoke |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.1035971/full |
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