Comparison of Outcomes and Complications Among Patients with Different Indications of Acute/Subacute Complicated Stanford Type B Aortic Dissection Treated by TEVAR: Data from the JaPanese REtrospective multicenter stuDy of ThoracIc Endovascular Aortic Repair for Complicated Type B Aortic Dissection (J-Predictive Study)
Purpose To investigate the relationships between indications for thoracic endovascular aortic repair for acute/subacute complicated Stanford type B aortic dissection and clinical outcomes, and complications specific to thoracic endovascular aortic repair. Material and methods The J-predictive study...
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Veröffentlicht in: | Cardiovascular and interventional radiology 2022-03, Vol.45 (3), p.290-297 |
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creator | Iwakoshi, Shinichi Irie, Yoshihito Katada, Yoshiaki Sakaguchi, Shoji Hongo, Norio Oji, Katsuki Fukuda, Tetsuya Matsuda, Hitoshi Kawasaki, Ryota Taniguchi, Takanori Motoki, Manabu Hagihara, Makiyo Kurimoto, Yoshihiko Morikage, Noriyasu Nishimaki, Hiroshi Ogawa, Yukihisa Sueyoshi, Eijun Inoue, Kyozo Shimizu, Hideyuki Ideta, Ichiro Higashigawa, Takatoshi Ikeda, Osamu Miyamoto, Naokazu Nakai, Motoki Nakai, Takahiro Inoue, Takashi Inoue, Takeshi Ichihashi, Shigeo Kichikawa, Kimihiko |
description | Purpose
To investigate the relationships between indications for thoracic endovascular aortic repair for acute/subacute complicated Stanford type B aortic dissection and clinical outcomes, and complications specific to thoracic endovascular aortic repair.
Material and methods
The J-predictive study retrospectively collected data of patients treated with thoracic endovascular aortic repair for complicated Stanford type B aortic dissection at 20 institutions from January 2012 to March 2017. From the database, those treated for acute/subacute complicated Stanford type B aortic dissection were extracted (
n
= 118; 96 men; average age, 66.1 years; standard deviation, ± 13) and classified into groups 1, 2, and 3 according to thoracic endovascular aortic repair indications (rupture, superior mesenteric artery malperfusion, and renal or lower extremity malperfusion, respectively). Primary and secondary measures were mortality (overall and aortic-related) and complications related to thoracic endovascular aortic repair, respectively. For each outcome, the risks of being in groups 1 and 2 were statistically compared with that of being in group 3 as a control using Fisher’s exact test.
Results
Mortality rate (odds ratio, 5.22; 95% confidence interval [CI], 1.33–20.53) and prevalence of paraparesis/paraplegia (odds ratio, 30.46; confidence interval, 1.71–541.77) were higher in group 1 than in group 3. Compared to group 3, group 2 showed no statistically significant differences in mortality or complications related to thoracic endovascular aortic repair.
Conclusions
Rupture as an indication for thoracic endovascular aortic repair for type B aortic dissection was more likely to result in worse mortality and high prevalence of spinal cord ischemia.
Level of Evidence
Level 4, Case series. |
doi_str_mv | 10.1007/s00270-021-03048-0 |
format | Article |
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To investigate the relationships between indications for thoracic endovascular aortic repair for acute/subacute complicated Stanford type B aortic dissection and clinical outcomes, and complications specific to thoracic endovascular aortic repair.
Material and methods
The J-predictive study retrospectively collected data of patients treated with thoracic endovascular aortic repair for complicated Stanford type B aortic dissection at 20 institutions from January 2012 to March 2017. From the database, those treated for acute/subacute complicated Stanford type B aortic dissection were extracted (
n
= 118; 96 men; average age, 66.1 years; standard deviation, ± 13) and classified into groups 1, 2, and 3 according to thoracic endovascular aortic repair indications (rupture, superior mesenteric artery malperfusion, and renal or lower extremity malperfusion, respectively). Primary and secondary measures were mortality (overall and aortic-related) and complications related to thoracic endovascular aortic repair, respectively. For each outcome, the risks of being in groups 1 and 2 were statistically compared with that of being in group 3 as a control using Fisher’s exact test.
Results
Mortality rate (odds ratio, 5.22; 95% confidence interval [CI], 1.33–20.53) and prevalence of paraparesis/paraplegia (odds ratio, 30.46; confidence interval, 1.71–541.77) were higher in group 1 than in group 3. Compared to group 3, group 2 showed no statistically significant differences in mortality or complications related to thoracic endovascular aortic repair.
Conclusions
Rupture as an indication for thoracic endovascular aortic repair for type B aortic dissection was more likely to result in worse mortality and high prevalence of spinal cord ischemia.
Level of Evidence
Level 4, Case series.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-021-03048-0</identifier><identifier>PMID: 35088138</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Aged ; Aneurysm, Dissecting - diagnostic imaging ; Aneurysm, Dissecting - surgery ; Aorta ; Aortic aneurysms ; Aortic dissection ; Arterial Interventions ; Cardiology ; Cardiovascular system ; Clinical Investigation ; Complications ; Confidence intervals ; Dissection ; Endovascular Procedures - adverse effects ; Female ; Humans ; Imaging ; Ischemia ; Japan - epidemiology ; Male ; Medicine ; Medicine & Public Health ; Mortality ; Nuclear Medicine ; Paraplegia ; Paraplegics ; Patients ; Postoperative Complications - epidemiology ; Radiology ; Retrospective Studies ; Risk Factors ; Rupture ; Rupturing ; Spinal cord ; Statistical analysis ; Thorax ; Treatment Outcome ; Ultrasound</subject><ispartof>Cardiovascular and interventional radiology, 2022-03, Vol.45 (3), p.290-297</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2021</rights><rights>2021. Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-80f3ced1b5e0dcbb19dd4875b7d130deb5034d06ce3464b9a01b39f0e7db1d93</citedby><cites>FETCH-LOGICAL-c375t-80f3ced1b5e0dcbb19dd4875b7d130deb5034d06ce3464b9a01b39f0e7db1d93</cites><orcidid>0000-0002-5145-274X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-021-03048-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-021-03048-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35088138$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iwakoshi, Shinichi</creatorcontrib><creatorcontrib>Irie, Yoshihito</creatorcontrib><creatorcontrib>Katada, Yoshiaki</creatorcontrib><creatorcontrib>Sakaguchi, Shoji</creatorcontrib><creatorcontrib>Hongo, Norio</creatorcontrib><creatorcontrib>Oji, Katsuki</creatorcontrib><creatorcontrib>Fukuda, Tetsuya</creatorcontrib><creatorcontrib>Matsuda, Hitoshi</creatorcontrib><creatorcontrib>Kawasaki, Ryota</creatorcontrib><creatorcontrib>Taniguchi, Takanori</creatorcontrib><creatorcontrib>Motoki, Manabu</creatorcontrib><creatorcontrib>Hagihara, Makiyo</creatorcontrib><creatorcontrib>Kurimoto, Yoshihiko</creatorcontrib><creatorcontrib>Morikage, Noriyasu</creatorcontrib><creatorcontrib>Nishimaki, Hiroshi</creatorcontrib><creatorcontrib>Ogawa, Yukihisa</creatorcontrib><creatorcontrib>Sueyoshi, Eijun</creatorcontrib><creatorcontrib>Inoue, Kyozo</creatorcontrib><creatorcontrib>Shimizu, Hideyuki</creatorcontrib><creatorcontrib>Ideta, Ichiro</creatorcontrib><creatorcontrib>Higashigawa, Takatoshi</creatorcontrib><creatorcontrib>Ikeda, Osamu</creatorcontrib><creatorcontrib>Miyamoto, Naokazu</creatorcontrib><creatorcontrib>Nakai, Motoki</creatorcontrib><creatorcontrib>Nakai, Takahiro</creatorcontrib><creatorcontrib>Inoue, Takashi</creatorcontrib><creatorcontrib>Inoue, Takeshi</creatorcontrib><creatorcontrib>Ichihashi, Shigeo</creatorcontrib><creatorcontrib>Kichikawa, Kimihiko</creatorcontrib><title>Comparison of Outcomes and Complications Among Patients with Different Indications of Acute/Subacute Complicated Stanford Type B Aortic Dissection Treated by TEVAR: Data from the JaPanese REtrospective multicenter stuDy of ThoracIc Endovascular Aortic Repair for Complicated Type B Aortic Dissection (J-Predictive Study)</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
To investigate the relationships between indications for thoracic endovascular aortic repair for acute/subacute complicated Stanford type B aortic dissection and clinical outcomes, and complications specific to thoracic endovascular aortic repair.
Material and methods
The J-predictive study retrospectively collected data of patients treated with thoracic endovascular aortic repair for complicated Stanford type B aortic dissection at 20 institutions from January 2012 to March 2017. From the database, those treated for acute/subacute complicated Stanford type B aortic dissection were extracted (
n
= 118; 96 men; average age, 66.1 years; standard deviation, ± 13) and classified into groups 1, 2, and 3 according to thoracic endovascular aortic repair indications (rupture, superior mesenteric artery malperfusion, and renal or lower extremity malperfusion, respectively). Primary and secondary measures were mortality (overall and aortic-related) and complications related to thoracic endovascular aortic repair, respectively. For each outcome, the risks of being in groups 1 and 2 were statistically compared with that of being in group 3 as a control using Fisher’s exact test.
Results
Mortality rate (odds ratio, 5.22; 95% confidence interval [CI], 1.33–20.53) and prevalence of paraparesis/paraplegia (odds ratio, 30.46; confidence interval, 1.71–541.77) were higher in group 1 than in group 3. Compared to group 3, group 2 showed no statistically significant differences in mortality or complications related to thoracic endovascular aortic repair.
Conclusions
Rupture as an indication for thoracic endovascular aortic repair for type B aortic dissection was more likely to result in worse mortality and high prevalence of spinal cord ischemia.
Level of Evidence
Level 4, Case series.</description><subject>Aged</subject><subject>Aneurysm, Dissecting - diagnostic imaging</subject><subject>Aneurysm, Dissecting - surgery</subject><subject>Aorta</subject><subject>Aortic aneurysms</subject><subject>Aortic dissection</subject><subject>Arterial Interventions</subject><subject>Cardiology</subject><subject>Cardiovascular system</subject><subject>Clinical Investigation</subject><subject>Complications</subject><subject>Confidence intervals</subject><subject>Dissection</subject><subject>Endovascular Procedures - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Ischemia</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mortality</subject><subject>Nuclear Medicine</subject><subject>Paraplegia</subject><subject>Paraplegics</subject><subject>Patients</subject><subject>Postoperative Complications - epidemiology</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Rupture</subject><subject>Rupturing</subject><subject>Spinal cord</subject><subject>Statistical analysis</subject><subject>Thorax</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kk2P0zAQhgMCsaXwBzigkbgsh7DjOGlSTpS2QFcrbdVGiFvk2JPdrJK42M6i_nucdj8EElz8IT_zzuvRGwRvGH5giOmZRYxSDDFiIXKMsxCfBiMW8yjEbPLjWTBClsYhSxJ2Ery09gaRJVmUvAhOeIJZxng2evJprtudMLXVHegKLnsndUsWRKdgeGpqKVytOwuzVndXsPY36pyFX7W7hkVdVWT8HVadeiC9zkz2js62fSmGw6MSKdg60VXaKMj3O4LPMNPG1dJLWUtyEIDc0IEs95Avv882H2EhnIDK6BbcNcG5WIuOLMFm6Yy2u6HslqDtGy_kzZAB6_rFfjCSX2sj5ErCslP6VljZN8Lc99zQTtQGvJs_HP7T2Ol5uDbkP3rot3W92r9_FTyvRGPp9d0-DvIvy3z-Lby4_Lqazy5CydPEhRlWXJJiZUKoZFmyqVJxliZlqhhHRWWCPFY4kcTjSVxOBbKSTyukVJVMTfk4OD3K7oz-2ZN1RVtbSU3jJ6F7W0STiGdT5OmAvvsLvdG96bw5T_EsS-KEZZ6KjpT0I7SGqmJn6laYfcGwGOJVHONV-HgVh3j5dRy8vZPuy5bUQ8l9njzAj4D1T90Vmcfe_5H9DXT_4Ps</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Iwakoshi, Shinichi</creator><creator>Irie, Yoshihito</creator><creator>Katada, Yoshiaki</creator><creator>Sakaguchi, Shoji</creator><creator>Hongo, Norio</creator><creator>Oji, Katsuki</creator><creator>Fukuda, Tetsuya</creator><creator>Matsuda, Hitoshi</creator><creator>Kawasaki, Ryota</creator><creator>Taniguchi, Takanori</creator><creator>Motoki, Manabu</creator><creator>Hagihara, Makiyo</creator><creator>Kurimoto, Yoshihiko</creator><creator>Morikage, Noriyasu</creator><creator>Nishimaki, Hiroshi</creator><creator>Ogawa, Yukihisa</creator><creator>Sueyoshi, Eijun</creator><creator>Inoue, Kyozo</creator><creator>Shimizu, Hideyuki</creator><creator>Ideta, Ichiro</creator><creator>Higashigawa, Takatoshi</creator><creator>Ikeda, Osamu</creator><creator>Miyamoto, Naokazu</creator><creator>Nakai, Motoki</creator><creator>Nakai, Takahiro</creator><creator>Inoue, Takashi</creator><creator>Inoue, Takeshi</creator><creator>Ichihashi, Shigeo</creator><creator>Kichikawa, Kimihiko</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5145-274X</orcidid></search><sort><creationdate>20220301</creationdate><title>Comparison of Outcomes and Complications Among Patients with Different Indications of Acute/Subacute Complicated Stanford Type B Aortic Dissection Treated by TEVAR: Data from the JaPanese REtrospective multicenter stuDy of ThoracIc Endovascular Aortic Repair for Complicated Type B Aortic Dissection (J-Predictive Study)</title><author>Iwakoshi, Shinichi ; Irie, Yoshihito ; Katada, Yoshiaki ; Sakaguchi, Shoji ; Hongo, Norio ; Oji, Katsuki ; Fukuda, Tetsuya ; Matsuda, Hitoshi ; Kawasaki, Ryota ; Taniguchi, Takanori ; Motoki, Manabu ; Hagihara, Makiyo ; Kurimoto, Yoshihiko ; Morikage, Noriyasu ; Nishimaki, Hiroshi ; Ogawa, Yukihisa ; Sueyoshi, Eijun ; Inoue, Kyozo ; Shimizu, Hideyuki ; Ideta, Ichiro ; Higashigawa, Takatoshi ; Ikeda, Osamu ; Miyamoto, Naokazu ; Nakai, Motoki ; Nakai, Takahiro ; Inoue, Takashi ; Inoue, Takeshi ; Ichihashi, Shigeo ; Kichikawa, 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Health</topic><topic>Mortality</topic><topic>Nuclear Medicine</topic><topic>Paraplegia</topic><topic>Paraplegics</topic><topic>Patients</topic><topic>Postoperative Complications - epidemiology</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Rupture</topic><topic>Rupturing</topic><topic>Spinal cord</topic><topic>Statistical analysis</topic><topic>Thorax</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iwakoshi, Shinichi</creatorcontrib><creatorcontrib>Irie, Yoshihito</creatorcontrib><creatorcontrib>Katada, Yoshiaki</creatorcontrib><creatorcontrib>Sakaguchi, Shoji</creatorcontrib><creatorcontrib>Hongo, Norio</creatorcontrib><creatorcontrib>Oji, Katsuki</creatorcontrib><creatorcontrib>Fukuda, Tetsuya</creatorcontrib><creatorcontrib>Matsuda, Hitoshi</creatorcontrib><creatorcontrib>Kawasaki, Ryota</creatorcontrib><creatorcontrib>Taniguchi, Takanori</creatorcontrib><creatorcontrib>Motoki, Manabu</creatorcontrib><creatorcontrib>Hagihara, Makiyo</creatorcontrib><creatorcontrib>Kurimoto, Yoshihiko</creatorcontrib><creatorcontrib>Morikage, Noriyasu</creatorcontrib><creatorcontrib>Nishimaki, Hiroshi</creatorcontrib><creatorcontrib>Ogawa, Yukihisa</creatorcontrib><creatorcontrib>Sueyoshi, Eijun</creatorcontrib><creatorcontrib>Inoue, Kyozo</creatorcontrib><creatorcontrib>Shimizu, Hideyuki</creatorcontrib><creatorcontrib>Ideta, Ichiro</creatorcontrib><creatorcontrib>Higashigawa, Takatoshi</creatorcontrib><creatorcontrib>Ikeda, Osamu</creatorcontrib><creatorcontrib>Miyamoto, Naokazu</creatorcontrib><creatorcontrib>Nakai, Motoki</creatorcontrib><creatorcontrib>Nakai, Takahiro</creatorcontrib><creatorcontrib>Inoue, Takashi</creatorcontrib><creatorcontrib>Inoue, Takeshi</creatorcontrib><creatorcontrib>Ichihashi, Shigeo</creatorcontrib><creatorcontrib>Kichikawa, Kimihiko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iwakoshi, Shinichi</au><au>Irie, Yoshihito</au><au>Katada, Yoshiaki</au><au>Sakaguchi, Shoji</au><au>Hongo, Norio</au><au>Oji, Katsuki</au><au>Fukuda, Tetsuya</au><au>Matsuda, Hitoshi</au><au>Kawasaki, Ryota</au><au>Taniguchi, Takanori</au><au>Motoki, Manabu</au><au>Hagihara, Makiyo</au><au>Kurimoto, Yoshihiko</au><au>Morikage, Noriyasu</au><au>Nishimaki, Hiroshi</au><au>Ogawa, Yukihisa</au><au>Sueyoshi, Eijun</au><au>Inoue, Kyozo</au><au>Shimizu, Hideyuki</au><au>Ideta, Ichiro</au><au>Higashigawa, Takatoshi</au><au>Ikeda, Osamu</au><au>Miyamoto, Naokazu</au><au>Nakai, Motoki</au><au>Nakai, Takahiro</au><au>Inoue, Takashi</au><au>Inoue, Takeshi</au><au>Ichihashi, Shigeo</au><au>Kichikawa, Kimihiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Outcomes and Complications Among Patients with Different Indications of Acute/Subacute Complicated Stanford Type B Aortic Dissection Treated by TEVAR: Data from the JaPanese REtrospective multicenter stuDy of ThoracIc Endovascular Aortic Repair for Complicated Type B Aortic Dissection (J-Predictive Study)</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>45</volume><issue>3</issue><spage>290</spage><epage>297</epage><pages>290-297</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Purpose
To investigate the relationships between indications for thoracic endovascular aortic repair for acute/subacute complicated Stanford type B aortic dissection and clinical outcomes, and complications specific to thoracic endovascular aortic repair.
Material and methods
The J-predictive study retrospectively collected data of patients treated with thoracic endovascular aortic repair for complicated Stanford type B aortic dissection at 20 institutions from January 2012 to March 2017. From the database, those treated for acute/subacute complicated Stanford type B aortic dissection were extracted (
n
= 118; 96 men; average age, 66.1 years; standard deviation, ± 13) and classified into groups 1, 2, and 3 according to thoracic endovascular aortic repair indications (rupture, superior mesenteric artery malperfusion, and renal or lower extremity malperfusion, respectively). Primary and secondary measures were mortality (overall and aortic-related) and complications related to thoracic endovascular aortic repair, respectively. For each outcome, the risks of being in groups 1 and 2 were statistically compared with that of being in group 3 as a control using Fisher’s exact test.
Results
Mortality rate (odds ratio, 5.22; 95% confidence interval [CI], 1.33–20.53) and prevalence of paraparesis/paraplegia (odds ratio, 30.46; confidence interval, 1.71–541.77) were higher in group 1 than in group 3. Compared to group 3, group 2 showed no statistically significant differences in mortality or complications related to thoracic endovascular aortic repair.
Conclusions
Rupture as an indication for thoracic endovascular aortic repair for type B aortic dissection was more likely to result in worse mortality and high prevalence of spinal cord ischemia.
Level of Evidence
Level 4, Case series.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35088138</pmid><doi>10.1007/s00270-021-03048-0</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5145-274X</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0174-1551 |
ispartof | Cardiovascular and interventional radiology, 2022-03, Vol.45 (3), p.290-297 |
issn | 0174-1551 1432-086X |
language | eng |
recordid | cdi_proquest_miscellaneous_2623890379 |
source | MEDLINE; SpringerLink Journals - AutoHoldings |
subjects | Aged Aneurysm, Dissecting - diagnostic imaging Aneurysm, Dissecting - surgery Aorta Aortic aneurysms Aortic dissection Arterial Interventions Cardiology Cardiovascular system Clinical Investigation Complications Confidence intervals Dissection Endovascular Procedures - adverse effects Female Humans Imaging Ischemia Japan - epidemiology Male Medicine Medicine & Public Health Mortality Nuclear Medicine Paraplegia Paraplegics Patients Postoperative Complications - epidemiology Radiology Retrospective Studies Risk Factors Rupture Rupturing Spinal cord Statistical analysis Thorax Treatment Outcome Ultrasound |
title | Comparison of Outcomes and Complications Among Patients with Different Indications of Acute/Subacute Complicated Stanford Type B Aortic Dissection Treated by TEVAR: Data from the JaPanese REtrospective multicenter stuDy of ThoracIc Endovascular Aortic Repair for Complicated Type B Aortic Dissection (J-Predictive Study) |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T03%3A49%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20of%20Outcomes%20and%20Complications%20Among%20Patients%20with%20Different%20Indications%20of%20Acute/Subacute%20Complicated%20Stanford%20Type%20B%20Aortic%20Dissection%20Treated%20by%20TEVAR:%20Data%20from%20the%20JaPanese%20REtrospective%20multicenter%20stuDy%20of%20ThoracIc%20Endovascular%20Aortic%20Repair%20for%20Complicated%20Type%20B%20Aortic%20Dissection%20(J-Predictive%20Study)&rft.jtitle=Cardiovascular%20and%20interventional%20radiology&rft.au=Iwakoshi,%20Shinichi&rft.date=2022-03-01&rft.volume=45&rft.issue=3&rft.spage=290&rft.epage=297&rft.pages=290-297&rft.issn=0174-1551&rft.eissn=1432-086X&rft_id=info:doi/10.1007/s00270-021-03048-0&rft_dat=%3Cproquest_cross%3E2623890379%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2638854518&rft_id=info:pmid/35088138&rfr_iscdi=true |