Results of thoracic endovascular aortic repair for high-risk uncomplicated Stanford B aortic dissection by different stages
10.3760/cma.j.cn113855-20240331-00237
- VernacularTitle:不同分期高危非复杂型Stanford B型主动脉夹层行胸主动脉腔内修复术的疗效分析
- Author:
Jing HUO
1
;
Yulin XIAO
;
Xiangyi SHEN
;
Zhongyin WU
;
Xiaobo LIU
;
Hong ZHANG
Author Information
1. 承德医学院附属医院全科医疗科，承德 067000
- Publication Type:Journal Article
- Keywords:
Aortic diseases;
Stents;
Uncomplicated Stanford B aortic dissection;
Staging;
Adverse events
- From:
Chinese Journal of General Surgery
2025;40(1):51-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the difference in efficacy of thoracic endovascular aortic repair (TEVAR) for high-risk uncomplicated Stanford B aortic dissection in acute versus subacute phase.Methods:The clinical and follow-up data of of 126 patients with high-risk, uncomplicated Stanford B aortic dissection treated with TEVAR at the Affiliated Hospital of Chengde Medical College from Jan 2014 to Oct 2020 were retrospectively analyzed.Results:One hundred and twenty-six patients were divided according to the time from onset to surgery into an acute phase group ( n=65, 1-14 days) and a subacute phase group ( n=61, 15-90 days). The average hospital stay of patients in the subacute phase group was significantly shorter than that of patients in the acute phase group ( P<0.05). One year post-operatively, abdominal aortic false lumen thrombosis in patients of the acute phase group was better than that in the subacute phase group ( P<0.05). The in hospital overall incidence of adverse events (total complications+death) was lower in the subacute phase group than in the acute phase group ( P<0.05). The difference in the long-term overall incidence of adverse events between the two groups was not statistically significant ( P>0.05). Conclusions:The TEVAR procedure for high-risk, uncomplicated Stanford B aortic dissection performed during the subacute phase had a lower postoperative in hospital incidence of adverse events.
