Evaluation of a stent system based on "PETTICOAT" technique in distal aortic remodeling for type B aortic dissection: a multi-center "Matching" comparative study
10.3760/cma.j.cn113855-20231026-00275
- VernacularTitle:基于“PETTICOAT”技术的支架系统在B型主动脉夹层远端主动脉重构中的有效性分析——一项多中心“匹配”比较研究
- Author:
Chengkai HU
1
;
Jue YANG
;
Wei WANG
;
Xiangchen DAI
;
Xinwu LU
;
Youfei QI
;
Hongpeng ZHANG
;
Yuchong ZHANG
;
Shouji QIU
;
Genmao CAO
;
Enci WANG
;
Peng LIN
;
Fandi MO
;
Shiyi LI
;
Zheyun LI
;
Ziang ZUO
;
Yi SI
;
Weiguo FU
;
Lixin WANG
Author Information
1. 复旦大学附属中山医院血管外科 复旦大学血管外科研究所，上海 200032
- Keywords:
Aorta,thoracic;
Aneurysm, dissecting;
False lumen thrombosis;
Aortic remodeling
- From:
Chinese Journal of General Surgery
2024;39(5):350-356
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the aortic remodeling of the Fabulous stent system and standard thoracic aortic endovascular repair (TEVAR) on distal aorta type B aortic dissection (TBAD). Methods:The prospective data collected between Dec 2017 and Oct 2019 from 134 patients with type B aortic dissection (TBAD) who underwent treatment with the "Fabulous" stent system, and retrospective data from 159 TBAD patients receiving standard TEVAR from corresponding multicenter. By using propensity score matching analysis, we compared the prognosis and aortic remodeling outcomes in patients undergoing Fabulous and standard TEVAR treatments during a 1-year postoperative follow-up.Results:In this study, 62 patients in Fabulous group and 62 patients in standard TEVAR were included.There were no significant statistical differences in baseline characteristics between the two groups. In terms of aortic remodeling in bare stent region, Fabulous group had better change trends of diameter of true lumen [10.6 (4.4, 14.5) mm vs. 4.7 (0.9, 10.7) mm, P=0.001] and false lumen [-24.2 (-30.5, -4.9) mm vs. 0.7 (-11.8, 2.3) mm, P<0.001] than those in the standard TEVAR group. The rate of complete false lumen thrombosis was also higher in the Fabulous group (62.9% vs. 37.1%, P=0.042). Conclusion:The Fabulous stent system, when compared to standard TEVAR surgery, demonstrates good aortic remodeling outcomes in the distal aorta.
