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Long-term survival and risk analysis of thoracic endovascular aortic repair for type B aortic dissection
oleh: 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
Format: | Article |
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Diterbitkan: | Elsevier 2023-12-01 |
Deskripsi
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.