Prognostic factors in patients with uncomplicated acute type B aortic dissection

The Annals of Thoracic Surgery
Chikara UekiTatsuhiko Komiya

Abstract

The benefit of thoracic endovascular aortic repair (TEVAR) for uncomplicated acute type B aortic dissection is unclear. Reliable prognostic factors are needed to identify candidates for prophylactic TEVAR. The aim of this study was to detect prognostic factors in patients with uncomplicated acute type B aortic dissection. From January 2003 to April 2012, a total of 228 patients with uncomplicated acute type B aortic dissection were admitted to our institute. Cox proportional hazards analysis was performed to identify risk factors for death, dissection-related death, and aortic events. Independent predictors of mortality were age (hazard ratio [HR], 1.08; p < 0.001) and false lumen thickness (mm) (HR, 1.10; p = 0.013), and the risk factor for dissection-related death was false lumen thickness (mm) (HR, 1.14; p < 0.001). Independent risk factors for aortic events were diameter of the descending aorta (mm) (HR, 1.14; p < 0.001) and entry in a proximal site (HR, 2.90; p = 0.02). The actuarial freedom from aortic events in patients with a descending aortic diameter of less than 40 mm and no entry in a proximal site at 1, 3, and 5 years was 96.6%, 90.8%, and 82.5%, respectively, whereas in patients with 1 of these 2 factors, it was 8...Continue Reading

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Citations

Jun 28, 2016·The Annals of Thoracic Surgery·Chikara Ueki, Genichi Sakaguchi
Jun 28, 2016·The Annals of Thoracic Surgery·John A ElefteriadesBulat A Ziganshin
Jun 28, 2016·Journal des maladies vasculaires·M OhanaC Roy
Oct 26, 2016·Journal of Vascular Surgery·R James ValentineThomas C Naslund
May 12, 2016·Journal of the American Heart Association·Dongze LiYu Cao
Mar 14, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Dong-Lin LiHong-Kun Zhang
Nov 14, 2017·Journal of Atherosclerosis and Thrombosis·Shuichiro Kaji
Jun 24, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hiroshi SatoNobuyoshi Kawaharada
Nov 21, 2018·General Thoracic and Cardiovascular Surgery·Shuichiro Kaji
Feb 4, 2021·Journal of Cardiac Surgery·Lara RimmerMohamad Bashir
Sep 12, 2018·The Journal of Thoracic and Cardiovascular Surgery·Takeshi ShimamotoHiroshi Tsuneyoshi
Sep 7, 2021·Frontiers in Cardiovascular Medicine·Gerlinde LoggheMarkus U Wagenhäuser
Jul 9, 2021·International Angiology : a Journal of the International Union of Angiology·Ana B RomeiroArmando Mansilha
Aug 12, 2021·Journal of Chest Surgery·Kaushalendra Singh Rathore
Dec 8, 2021·BMC Pulmonary Medicine·Pascal DelsartClaire Mounier-Vehier

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