Evidence map›Paper›PMID 37170323›Full record

ArticleJournal of cardiothoracic surgery2023

Comparison of population characteristics and clinical outcomes of patients with type B aortic dissection or aortic intramural hematoma underwent thoracic endovascular aortic repair: a propensity score-matched analysis.

Nan Zhang, Tian-Shu Xu, Tie-Nan Zhou, Lei Zhang, Xiao-Zeng Wang, Ying Min

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Article in Journal of cardiothoracic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Nan Zhang *Department of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, 110016, Liaoning, China.
Tian-Shu Xu *Department of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, 110016, Liaoning, China.
Tie-Nan ZhouDepartment of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, 110016, Liaoning, China.
Lei ZhangDepartment of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, 110016, Liaoning, China.
Xiao-Zeng WangDepartment of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, 110016, Liaoning, China.
Ying MinDepartment of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, Shenyang, 110016, Liaoning, China. minying111@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundsSurvival and aortic-related adverse events after thoracic endovascular aortic repair (TEVAR) for aortic intramural hematoma (IMH) and aortic dissection (AD) are controversial. We aimed to assess the preoperative characteristics and to evaluate TEVAR outcomes of acute type B IMH and AD.

methodsBetween June 2002 and May 2021, 83 patients with acute type B IMH and 755 patients with acute type B AD underwent TEVAR at the General Hospital of Northern Theater Command. We retrospectively analyzed data from these patients, including clinical characteristics and follow-up outcomes.

resultsThe patients with IMH were significantly older than the ones with AD (P < 0.001). Diabetes mellitus (P = 0.035) and ischemic cerebrovascular disease (P = 0.017) were more common in the IMH group than in the AD group. The results demonstrated a less long-term aortic-related death-free survival rate in the IMH group than the AD group for all the patients (P = 0.014) and the matched patients (P = 0.027). It also presents a lower long-term overall survival rate (P = 0.047) and aortic-related event-free rate (P = 0.048) in the IMH group than in the matched patients.

conclusionsCompared with AD patients, patients with IMH who underwent TEVAR had a worse long-term outcome of aortic-related survival in all and matched patients.

Indexed as

Aortic Aneurysm, ThoracicAortic DiseasesAortic DissectionAortic Intramural HematomaEndovascular Aneurysm RepairHematomaHumansPropensity ScoreRetrospective StudiesTreatment OutcomeAcute type B aortic dissectionAcute type B aortic intramural hematomaThoracic endovascular aortic repair

Identifiers

PMID37170323
PMCPMC10176865

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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.