scholarly journals Clinical Outcomes and Volumetric Analysis of Endoluminal Exclusion of Acute Complicated Type B Descending Thoracic Aortic Dissections

2010 ◽  
Vol 52 (2) ◽  
pp. 528
Author(s):  
Karen M. Kim ◽  
Carlos E. Donayre ◽  
Tyler S. Reynolds ◽  
George E. Kopchok ◽  
Irwin Walot ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Volumetric Analysis ◽  
Type B ◽  
Aortic Dissections

scholarly journals Aortic remodeling, volumetric analysis, and clinical outcomes of endoluminal exclusion of acute complicated type B thoracic aortic dissections

2011 ◽  
Vol 54 (2) ◽  
pp. 316-325 ◽  
Author(s):  
Karen M. Kim ◽  
Carlos E. Donayre ◽  
Tyler S. Reynolds ◽  
George E. Kopchok ◽  
Iwin Walot ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Volumetric Analysis ◽  
Type B ◽  
Aortic Dissections ◽  
Aortic Remodeling

scholarly journals Volumetric analysis of type B aortic dissections treated with thoracic endovascular aortic repair

2011 ◽  
Vol 54 (4) ◽  
pp. 985-992 ◽  
Author(s):  
Gregory A. Stanley ◽  
Erin H. Murphy ◽  
Martyn Knowles ◽  
Mihaila Ilves ◽  
Michael E. Jessen ◽  
...  
Keyword(s):  
Volumetric Analysis ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Type B ◽  
Aortic Repair ◽  
Aortic Dissections

scholarly journals Clinical outcomes of the Frozen Elephant Trunk procedure in 70 emergent and elective patients undergoing aortic arch surgery: the Salerno experience with Thoraflex Hybrid

2021 ◽  
Author(s):  
Paolo Masiello ◽  
Generoso Mastrogiovanni ◽  
Oreste Presutto ◽  
Pierpaolo Chivasso ◽  
Vito Bruno ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Clinical Outcomes ◽  
Type A ◽  
Aortic Aneurysms ◽  
Acute Type ◽  
Type B ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Type B Dissection ◽  
Aortic Dissections

Background and aim of the study. To report early clinical outcomes of the frozen elephant trunk technique (FET) for the treatment of complex aortic diseases after transition from conventional elephant trunk. Methods. A single-center, retrospective study of patients who underwent hybrid aortic arch and FET repair for aortic arch and/or proximal descending aortic aneurysms, acute and chronic Stanford type A aortic dissection with arch and/or proximal descending involvement, Stanford type B acute and chronic aortic dissections with retrograde aortic arch involvement. Results. Between December 2017 and May 2020, 70 consecutive patients (62.7±10.6 years, 59 male) were treated: 41 (58.6%) for acute conditions and 29 (41.4%) for chronic. Technical success was 100%. In-hospital mortality was 14.2% (n=12, 17.1% emergency vs. 10.3% chronic, P=NS); 2 (2.9%) major strokes; 1 (1.4%) spinal cord injury. Follow-up was 12.5 months (IQR 3.7—22.3. Overall survival at 3, 6, 12 and 24 months was 90% (95% CI, 83.2—97.3), 85.6% (95% CI, 77.7—94.3), 79.1% (95% CI, 69.9—89.5), 75.6% (95% CI, 65.8—86.9) and 73.5 (95% CI, 63.3—85.3). There were no aortic re-interventions and no dSINE; 5 patients with residual type B dissection underwent TEVAR completion. Conclusions. In a real-world setting, FET demonstrated a rapid learning curve and good clinical outcomes, even in acute type A aortic dissections. Techniques to perfect the procedure and to reduce remaining risks, and consensus on considerations such as standardized cerebral protection need to be reported.

Emergency endovascular stent-grafting for life-threatening acute type B aortic dissections

2004 ◽  
Vol 52 (S 1) ◽  
Author(s):  
LF Duebener ◽  
V Geist ◽  
G Richardt ◽  
A N�tzold ◽  
M Misfeld ◽  
...  
Keyword(s):  
Acute Type ◽  
Endovascular Stent ◽  
Type B ◽  
Stent Grafting ◽  
Endovascular Stent Grafting ◽  
Life Threatening ◽  
Aortic Dissections

Influence of Sex on Outcomes After Thoracic Endovascular Repair for Type B Aortic Dissection

Angiology ◽  
2021 ◽  
pp. 000331972098795
Author(s):  
Songyuan Luo ◽  
Yi Zhu ◽  
Enmin Xie ◽  
Huanyu Ding ◽  
Fan Yang ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Clinical Outcomes ◽  
Cox Regression ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Landing Zone ◽  
End Point ◽  
Male Patients ◽  
Long Term Mortality

We aimed to investigate whether sex differences influence the clinical outcomes of patients who undergo thoracic endovascular aortic repair (TEVAR) for type B aortic dissection (TBAD). We retrospectively analyzed a prospectively maintained single-center cohort of patients with TBAD who underwent TEVAR between January 2010 and June 2017. We evaluated the in-hospital and long-term mortality and composite end point. Of the 913 patients, 793 (86.8%) were male and 120 (13.1%) were female. Compared to male patients, the female patients were older, more likely to have diabetes mellitus, but less likely to smoke or have hypertension. The proximal landing zone in 0 and 1 was higher in male patients ( P = .023), who were more likely to require an aortic arch bypass. Endoleak, delirium, and ICU stay after stent-graft implantation were also more frequent in men. Sex factor was not associated with in-hospital or long-term mortality or the composite end point in the multivariable regression analyses and Cox regression model. The mean estimated survival time was similar between males and females (2462.9 ± 141.2 vs 2804.1 ± 117.4 days, P = .167) in the propensity score–matched cohort. Despite distinct characteristics between sex, there was no sex-related difference in long-term clinical outcomes after TEVAR for TBAD.

scholarly journals All Type B Aortic Dissections Should Undergo TEVAR

2021 ◽  
Author(s):  
Saket Singh ◽  
Naiem Nassiri ◽  
Prashanth Vallabhajosyula
Keyword(s):  
Type B ◽  
Aortic Dissections

Natural History and Clinical Outcomes of Paravertebral Arteriovenous Shunts

Stroke ◽  
2021 ◽  
Author(s):  
Yueshan Feng ◽  
Jiaxing Yu ◽  
Jiankun Xu ◽  
Chuan He ◽  
Lisong Bian ◽  
...  
Keyword(s):  
Natural History ◽  
Clinical Outcomes ◽  
Clinical Intervention ◽  
Type A ◽  
Neurological Deficits ◽  
Type B ◽  
Deterioration Rate ◽  
Arteriovenous Shunts ◽  
Spinal Segments

Background and Purpose: Paravertebral arteriovenous shunts (PVAVSs) are rare. Whether the intradural venous system is involved in drainage may lead to differences in clinical characteristics through specific pathophysiological mechanisms. This study aims to comprehensively evaluate the natural history and clinical outcomes of PVAVSs with or without intradural drainage. Methods: Sixty-four consecutive patients with PVAVSs from 2 institutes were retrospectively reviewed. Lesions were classified as type A (n=28) if the intradural veins were involved in drainage; otherwise, they were classified as type B (n=36). The clinical course from initial presentation to the last follow-up was analyzed. Results: The patients with type A shunts were older at presentation (52.5 versus 35.5 years, P <0.0001) and more likely to have lower spinal segments affected than patients with type B PVAVSs (67.8% versus 13.9%, P =0.00006). After presentation, the deterioration rates related to gait and sphincter dysfunction were significantly higher in patients with type A than type B shunts (gait dysfunction: 71.8%/y versus 17.0%/y, P =0.0006; sphincter dysfunction: 63.7%/y versus 11.3%/y, P =0.0002). According to the angiogram at the end of the latest treatment, 79% of type A and 75% of type B PVAVSs were completely obliterated. If the lesions were partially obliterated, a significantly higher clinical deterioration rate was observed in patients with type A shunts than those with type B shunts (69.9%/y versus 3.2%/y, P =0.0253). Conclusions: Type A PVAVSs feature rapid progressive neurological deficits; therefore, early clinical intervention is necessary. For complex lesions that cannot be completely obliterated, surgical disconnection of all refluxed radicular veins is suggested.

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