Evidence map›Paper›PMID 27766269›Full record

ArticleAorta (Stamford, Conn.)2016

Chronic Type A Aortic Dissection: Two Cases and a Review of Current Management Strategies.

Conor F Hynes, Michael D Greenberg, Shawn Sarin, Gregory D Trachiotis

Abstract readCase Reports
In one paragraph

Article in Aorta (Stamford, Conn.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. Frozen elephant trunk with modifiedJournal of thoracic disease · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Conor F HynesDivision of Cardiothoracic Surgery, Veterans Affairs Medical Center, Washington District of Columbia, USA.
Michael D GreenbergDivision of Cardiology, Veterans Affairs Medical Center, Washington District of Columbia, USA.
Shawn SarinDepartment Interventional Vascular Radiology, The George Washington University, Washington District of Columbia, USA.
Gregory D TrachiotisDivision of Cardiothoracic Surgery, Veterans Affairs Medical Center, Washington District of Columbia, USA; Division of Cardiothoracic Surgery, The George Washington University, Washington District of Columbia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stanford Type A aortic dissection is a rapidly progressing disease process that is often fatal without emergent surgical repair. A small proportion of Type A dissections go undiagnosed in the acute phase and are found upon delayed presentation of symptoms or incidentally. These chronic lesions may have a distinct natural history that may have a better prognosis and could potentially be managed differently then those presenting acutely. The method of repair depends on location and extent of the false lumen, as well as involvement of critical structures and branch arteries. Surgical repair techniques similar to those employed for acute dissection management are currently first-line therapy for chronic cases that involve the aortic valve, sinuses of Valsalva, coronary arteries, and supra-aortic branch arteries. In patients with high-risk for surgery, endovascular repairs have been successful, and active development of delivery systems and grafts will continue to enhance outcomes. We present two cases of chronic Type A aortic dissection and review the current literature.

Indexed as

Chronic aortic dissectionStanford Type A dissectionThoracic endovascular aortic repair

Identifiers

PMID27766269
PMCPMC5068495

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.