Management trends and early mortality rates for acute type B aortic dissection: a 10-year single-institution experience

Annals of Vascular Surgery
Kent S MacKenzieBernard Montreuil

Abstract

This study was undertaken to assess trends in management over time and to determine predictors of early mortality for acute type B aortic dissection. Fifty-three consecutive patients with acute type B aortic dissection over a 10-year period were reviewed. Baseline demographics as well as in-hospital data regarding symptoms, type of initial management, surgical indications, type of surgical intervention, and early mortality rates were collected. Independent predictors of early mortality were determined by logistic regression. Forty-one of 53 (77.4%) patients were initially managed medically with a total of 26 (49.1%) ultimately undergoing surgical repair during hospitalization. Crude early mortality was 30.8% in the surgical group vs. 14.8% in the medical group (p = 0.20). Improvements in early mortality were observed over time for surgery (58.3%, first half vs. 7.1%, second half; p = 0.019) and medical therapy (21.4%, first half vs. 7.7%, second half; p = 0.64). Early mortality was 50% in 16 patients having open aortic surgery vs. 0% in 10 patients undergoing endovascular stent graft repair (p < 0.005). Independent predictors of early mortality included only renal dysfunction (odds ratio [OR] 7.39), aortic rupture (OR 8.72), an...Continue Reading

References

Nov 1, 1995·Circulation·J I FannN E Shumway
May 1, 1996·The Annals of Thoracic Surgery·J S SchorR B Griepp
May 20, 1999·The New England Journal of Medicine·C A NienaberA Pierangeli
May 20, 1999·The New England Journal of Medicine·M D DakeD C Miller
Feb 24, 2000·JAMA : the Journal of the American Medical Association·P G HaganK A Eagle
May 9, 2002·The Annals of Thoracic Surgery·J Honório PalmaEnio Buffolo
Jun 6, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·D HutschalaM Grabenwöger
Jul 10, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M GenoniM Turina
Mar 5, 2003·Circulation·Yskert von KodolitschChristoph A Nienaber

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Citations

Nov 3, 2005·Nature Clinical Practice. Cardiovascular Medicine·Peter J MossopIan K Nixon
Aug 4, 2011·European Heart Journal·Christoph A Nienaber, Janet T Powell
Dec 3, 2011·The Annals of Thoracic Surgery·Sophie C HofferberthPeter J Mossop
Mar 7, 2006·Journal of Vascular and Interventional Radiology : JVIR·Jong Yun WonDo Yun Lee
Jan 1, 2009·Seminars in Thoracic and Cardiovascular Surgery·Castigliano M Bhamidipati, Gorav Ailawadi
Nov 11, 2008·European Journal of Radiology·I Chemelli-SteingruberB V Czermak
May 22, 2007·Annals of Vascular Surgery·S AcostaA Gottsäter
Dec 4, 2008·The Annals of Thoracic Surgery·Jun D Parker, Jonathan Golledge
Apr 22, 2015·Current Treatment Options in Cardiovascular Medicine·Kristine C Orion, James H Black
Nov 18, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C P Day, T M Buckenham
Jun 16, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C GuangqiW Shenming
Dec 4, 2014·Heart, Lung & Circulation·Jing ZhangAiling Wang
Apr 23, 2008·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Iris Eva SteingruberBenedikt Viktor Czermak
Sep 16, 2011·Journal of Vascular Surgery·Christoph A NienaberRossella Fattori
Nov 9, 2018·VASA. Zeitschrift für Gefässkrankheiten·Stephen HofmeisterNicolas J Mouawad
Oct 20, 2005·Current Opinion in Cardiology·Holger EggebrechtRaimund Erbel
Nov 8, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Holger EggebrechtRaimund Erbel
Mar 14, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Julio A Rodriguez-Lopez, Edward B Diethrich
Feb 23, 2008·Journal of Cardiac Surgery·Onur S GokselEnver Dayioglu
Jul 14, 2020·Frontiers in Surgery·Salah D QanadliDavid C Rotzinger
Dec 20, 2007·British Journal of Hospital Medicine·Archana RaoLindsay Morrison
Oct 30, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Yaowang LinHuadong Liu

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