The endovascular therapy on acute and non-acute Stanford B aortic dissection in China: A meta-analysis
10.3760/cma.j.issn.1007-631X.2016.08.020
- VernacularTitle:腔内治疗急性与非急性Stanford B型夹层国内文献的Meta分析
- Author:
Zuoguan CHEN
;
Yongjun LI
- Publication Type:Journal Article
- Keywords:
Meta-analysis;
Aortic diseases;
Angioplasty;
Aortic dissection
- From:
Chinese Journal of General Surgery
2016;31(8):681-685
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the technical success,adverse events in 30 days after endovascular repair for acute and non-acute Stanford B aortic dissection.Methods A search was performed to identify all Chinese literatures that compare the effect of TEVAR on acute and non-acute Stanford B dissection in WanFang and Chinese National Knowledge Infrastructure (CNKI) from 2009 to 2014.Literatures were extracted and x2 test conducted by SPSS 17.0 software,REVMAN 5.3 software was used to conduct meta-analysis and bias analysis by STATA software.Results 5 studies including 468 patients (acute group 243,non-acute group 225) were extracted.Acute Stanford B dissection have higher rate both in total complications(OR =3.10,95％ CI =[1.74,5.53],P =0.0001) and endoleaks (OR =2.07,95％ CI =[1.11,3.88],P =0.02) within 30 days than non-acute group,the technique success rate (P =0.3),the mortality rate within 30 days (P =0.27) as well as aortic related mortality rate (P =0.26)show no significant difference.Conclusion Acute Stanford B dissection have higher rate of total postoperative complications,endoleaks within 30 days than non-acute group,with similar surgical success rate,30 days mortality rate and aorta related mortality rate.
