Clinical outcomes and quality of life in patients with acute and subacute type B aortic dissection after thoracic endovascular aortic repair

Objective Thoracic endovascular aortic repair (TEVAR) is considered the mini-invasive treatment of choice for patients with Stanford type B aortic dissection (TBAD). This study aimed to investigate the clinical outcomes and quality of life (QoL) in patients with acute and subacute TBAD after TEVAR. Methods From January 2014 until July 2016, 22 acute patients (Group A) and 18 subacute patients received TEVAR (Group B), and 13 patients were managed non-operatively (Group C). The Medical Outcomes Study Short Form-36 was used to assess QoL preoperatively and after TEVAR. Operative techniques and complications were retrospectively analyzed. Results The role emotion, vitality, and mental health domains scored well preoperatively. Except for role emotion, vitality, and mental health, the remaining domains significantly improved after TEVAR. There was no significant difference in QoL metrics between Groups A and B. In Group C, bodily pain and social functioning domains were improved, and role emotion was decreased, with no improvement in the remaining domains. The 3-year survival rates were 95.5%, 100%, and 85.7% for Groups A, B, and C, respectively. Conclusions TEVAR may be safe and effective in patients with acute and subacute TBAD with similar and favorable clinical and QoL metrics.

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Aortic Remodeling and Clinical Outcomes in Type B Aortic Dissection According to the Timing of Thoracic Endovascular Aortic Repair

Annals of Vascular Surgery ◽

10.1016/j.avsg.2020.03.022 ◽

2020 ◽

Vol 67 ◽

pp. 322-331 ◽

Cited By ~ 1

Author(s):

Seung-Jun Lee ◽

Woong Chol Kang ◽

Young-Guk Ko ◽

Yeongmin Woo ◽

Chul-Min Ahn ◽

...

Keyword(s):

Aortic Dissection ◽

Clinical Outcomes ◽

Thoracic Endovascular Aortic Repair ◽

Endovascular Aortic Repair ◽

Type B ◽

Type B Aortic Dissection ◽

Aortic Repair ◽

Aortic Remodeling

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Clinical outcomes and quality of life in patients with Stanford type B aortic dissection after endovascular repair

The Heart Surgery Forum ◽

10.1532/hsf.1995 ◽

2018 ◽

Vol 21 (5) ◽

pp. E382-E386

Author(s):

Yonghua Bi ◽

Hongmei Chen ◽

Zepeng Yu ◽

Jianzhuang Ren ◽

Xinwei Han

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Aortic Dissection ◽

Clinical Outcomes ◽

Endovascular Repair ◽

Type B ◽

Type B Aortic Dissection ◽

Sf 36 ◽

Stanford Type B

Background: Aortic dissection is a severe and life-threatening disease that is usually linked with numerous possible complications. Stanford type B aortic dissection patients often choose endovascular repair due to its mini-invasiveness and quick recovery. This study concerns with medial-term outcome and quality of life (QoL) in patients with Stanford type B aortic dissection after endovascular repair.Methods: From January 2014 until July 2016, 40 patients with Stanford type B aortic dissection received an endovascular repair. Of the total number of patients, 35 were males (87.5%) and 5 females (12.5%), mean aged 80.9±14.1 years. The Medical Outcomes Study-Short Form-36 (MOS SF-36) was used to assess the QoL preoperatively and after endovascular repair. The first follow-up (FU) of SF-36 questionnaire (FU1) was obtained within 3.9±0.3 months after repair, and the second (FU2), 25.6±6.5 months thereafter.Results: None of patient died during the observational period, and one patient lost to FU. SF-36 observation showed the best-scoring domain was ‘Role emotion’, ‘Vitality’ and ‘Mental health’ were also scored well preoperatively. Except for ‘Role emotion’ and ‘Mental health’, all remained domains were significantly improved both FU1 and FU2.Conclusions: Endovascular repair in patients with Stanford type B aortic dissection enables excellent clinical outcomes and QoL.

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