Traumatic Aortic Dissection as a Unique Clinical Entity: A Single-Center Retrospective Study
Background: This study aimed to compare the clinical characteristics, treatment approaches, and outcomes of the Stanford Type B traumatic aortic dissection (TAD) with non-traumatic aortic dissection (NTAD), and assess better management for TAD. Methods: We retrospectively analyzed patients who under...
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| Format: | Article |
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MDPI AG
2023-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/24/7535 |
| _version_ | 1797380570850787328 |
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| author | Qingwei Gang Yu Lun Liwei Pang Xinyang Li Bingchen Hou Shijie Xin Jian Zhang |
| author_facet | Qingwei Gang Yu Lun Liwei Pang Xinyang Li Bingchen Hou Shijie Xin Jian Zhang |
| author_sort | Qingwei Gang |
| collection | DOAJ |
| description | Background: This study aimed to compare the clinical characteristics, treatment approaches, and outcomes of the Stanford Type B traumatic aortic dissection (TAD) with non-traumatic aortic dissection (NTAD), and assess better management for TAD. Methods: We retrospectively analyzed patients who underwent thoracic endovascular aortic repair for Stanford type B aortic dissection at The First Hospital of China Medical University between 2014 and 2022. The patients were divided into TAD and NTAD groups based on whether they had a history of acute trauma. This study ultimately included 65 patients with TAD and 288 with NTAD. We assessed and compared the baseline characteristics, laboratory indicators, imaging features, surgical procedures, and follow-up results between the groups. Results: The TAD group was younger compared to the NTAD group (50.00 [IQR40.00–59.00] vs. 55.00 [IQR 47.00–61.00] years, <i>p</i> = 0.020). A lower percentage of the TAD group had a history of hypertension (20% vs. 71.18%, <i>p</i> < 0.001). The length of aortic dissection was shorter in the TAD group compared to the NTAD group (30.00 [IQR 22.00–40.00] vs. 344.00 [IQR 237.25–400.00] mm, <i>p</i> < 0.001). All patients with TAD underwent TEVAR following the same strategy as NTAD. The mean preoperative duration was 7.00 (IQR 2.00–14.00) days in the TAD group and 11.00 (IQR 8.00–15.00) days in the NTAD group (<i>p <</i> 0.001). TAD showed fewer complications after TEVAR in mid-to-long-term follow-up. Conclusions: TAD is distinct from NTAD. TAD typically presents with more localized lesions than NTAD, and the patients experience a shorter preoperative duration and a better mid-to-long-term outcome. |
| first_indexed | 2024-03-08T20:40:12Z |
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| language | English |
| last_indexed | 2024-03-08T20:40:12Z |
| publishDate | 2023-12-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-c6c6b2d0b5bd45bea7f60525754e85ab2023-12-22T14:16:54ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011224753510.3390/jcm12247535Traumatic Aortic Dissection as a Unique Clinical Entity: A Single-Center Retrospective StudyQingwei Gang0Yu Lun1Liwei Pang2Xinyang Li3Bingchen Hou4Shijie Xin5Jian Zhang6Department of Vascular and Thyroid Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, ChinaDepartment of Vascular and Thyroid Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, ChinaDepartment of Vascular and Thyroid Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, ChinaDepartment of Vascular and Thyroid Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, ChinaDepartment of Vascular and Thyroid Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, ChinaDepartment of Vascular and Thyroid Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, ChinaDepartment of Vascular and Thyroid Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, ChinaBackground: This study aimed to compare the clinical characteristics, treatment approaches, and outcomes of the Stanford Type B traumatic aortic dissection (TAD) with non-traumatic aortic dissection (NTAD), and assess better management for TAD. Methods: We retrospectively analyzed patients who underwent thoracic endovascular aortic repair for Stanford type B aortic dissection at The First Hospital of China Medical University between 2014 and 2022. The patients were divided into TAD and NTAD groups based on whether they had a history of acute trauma. This study ultimately included 65 patients with TAD and 288 with NTAD. We assessed and compared the baseline characteristics, laboratory indicators, imaging features, surgical procedures, and follow-up results between the groups. Results: The TAD group was younger compared to the NTAD group (50.00 [IQR40.00–59.00] vs. 55.00 [IQR 47.00–61.00] years, <i>p</i> = 0.020). A lower percentage of the TAD group had a history of hypertension (20% vs. 71.18%, <i>p</i> < 0.001). The length of aortic dissection was shorter in the TAD group compared to the NTAD group (30.00 [IQR 22.00–40.00] vs. 344.00 [IQR 237.25–400.00] mm, <i>p</i> < 0.001). All patients with TAD underwent TEVAR following the same strategy as NTAD. The mean preoperative duration was 7.00 (IQR 2.00–14.00) days in the TAD group and 11.00 (IQR 8.00–15.00) days in the NTAD group (<i>p <</i> 0.001). TAD showed fewer complications after TEVAR in mid-to-long-term follow-up. Conclusions: TAD is distinct from NTAD. TAD typically presents with more localized lesions than NTAD, and the patients experience a shorter preoperative duration and a better mid-to-long-term outcome.https://www.mdpi.com/2077-0383/12/24/7535aortic dissectiontraumaticstanford type Bblunt aortic injurythoracic endovascular aortic repair (TEVAR) |
| spellingShingle | Qingwei Gang Yu Lun Liwei Pang Xinyang Li Bingchen Hou Shijie Xin Jian Zhang Traumatic Aortic Dissection as a Unique Clinical Entity: A Single-Center Retrospective Study Journal of Clinical Medicine aortic dissection traumatic stanford type B blunt aortic injury thoracic endovascular aortic repair (TEVAR) |
| title | Traumatic Aortic Dissection as a Unique Clinical Entity: A Single-Center Retrospective Study |
| title_full | Traumatic Aortic Dissection as a Unique Clinical Entity: A Single-Center Retrospective Study |
| title_fullStr | Traumatic Aortic Dissection as a Unique Clinical Entity: A Single-Center Retrospective Study |
| title_full_unstemmed | Traumatic Aortic Dissection as a Unique Clinical Entity: A Single-Center Retrospective Study |
| title_short | Traumatic Aortic Dissection as a Unique Clinical Entity: A Single-Center Retrospective Study |
| title_sort | traumatic aortic dissection as a unique clinical entity a single center retrospective study |
| topic | aortic dissection traumatic stanford type B blunt aortic injury thoracic endovascular aortic repair (TEVAR) |
| url | https://www.mdpi.com/2077-0383/12/24/7535 |
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