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Endovascular Repair for Acute Type B Aortic Dissection / 中国医学科学院学报
Acta Academiae Medicinae Sinicae ; (6): 715-719, 2016.
Artículo en Inglés | WPRIM | ID: wpr-277915
ABSTRACT
Objective To report experience and result of endovascular repair for acute type B aortic dissection (ATBD). Methods Totally 125 ATBD patients receiving endovascular repair with stent-graft were enrolled in this study. Demographic data,operation details,perioperative findings,and follow-up results were retrospectively analyzed. Results All the 125 patients were successfully implanted with 135 stent-grafts. Thirteen cases were covered left subclavian artery,16 cases underwent left subclavian artery revascularization,and 10 cases underwent visceral artery revascularization. No perioperative mortality occurred. Meanwhile,the perioerative major adverse events included renal infarction (n=1),renal artery bleeding (n=2),stroke (n=2),myocardial infarction (n=1),and renal dysfunction (n=2;one of them suffered from permanent dialysis),and incision complication (n=5). The mean cost during hospital stay was (112 657±58 921) Yuan;more specifically,the cost for complicated dissection cases was significantly higher than uncomplicated cases [(171 623±93 635)Yuan vs. (92 531±48 721) Yuan,P<0.001]. All the patients received regular follow-up for 3-120 months [mean (23.5±11.2) months],except that 14 cases (11.2%) lost to follow-up. During the follow-up,three deaths were reported,among whom one died due to rupture of distal dissection one year after primary operation. No re-intervention case was noted. Conclusions Endovascular repair for ATBD is safe and feasible. Emergency repair for complicated ATBD cases can get satisfactory results,although the medical cost is higher than uncomplicated cases.
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cirugía General / Stents / Estudios Retrospectivos / Resultado del Tratamiento / Aneurisma de la Aorta Torácica / Implantación de Prótesis Vascular / Disección Aórtica / Tiempo de Internación Tipo de estudio: Estudio observacional Límite: Humanos Idioma: Inglés Revista: Acta Academiae Medicinae Sinicae Año: 2016 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cirugía General / Stents / Estudios Retrospectivos / Resultado del Tratamiento / Aneurisma de la Aorta Torácica / Implantación de Prótesis Vascular / Disección Aórtica / Tiempo de Internación Tipo de estudio: Estudio observacional Límite: Humanos Idioma: Inglés Revista: Acta Academiae Medicinae Sinicae Año: 2016 Tipo del documento: Artículo