Observational studyThe Annals of thoracic surgery2024
Reinterventions After Repair of Acute Type A Aortic Dissection: Incidence, Outcomes, and Risk Factors.
Observational study in The Annals of thoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Computed Tomography Imaging Measurements as a Surrogate for Clinical Outcomes After Surgical Management of Acute Type A Aortic Dissection: A Systematic Review.Journal of the American Heart Association · 2024Pooled it
- Early-term and midterm outcomes of endovascular completion of high-risk subacute and early chronic residual dissection after type A repair.JTCVS structural and endovascular · 2026Article
- Proximal Anastomosis for the Treatment of Acute Type A Aortic Dissection: An Operative Technical Note.Journal of clinical medicine · 2026Article
- Initial Surgical Experience of a Novel Frozen Elephant Trunk Without Distal Stent for Acute Type A Aortic Dissection.Annals of thoracic surgery short reports · 2026Article
- Sinus of Valsalva Involvement Affects Aortic Root Growth After Acute Type A Aortic Dissection Repair.Annals of thoracic surgery short reports · 2026Article
- Hemiarch repair versus total-arch repair with frozen elephant trunk for acute type A aortic dissection: A propensity score-matched study.JTCVS open · 2026Article
- Comparison of Extended Arch Versus Hemiarch Replacement in Elderly Patients With Type A Aortic Dissection: The Shizuoka Kokuho Database.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Aortic dissection as a disease of vascular wall homeostasis: integrating vasa vasorum-inflammation-metabolism axis for mechanistic insight and clinical translation.Frontiers in immunology · 2026Review
- Multidisciplinary management of acute type A aortic dissection presenting with atypical symptoms, abdominal hemorrhage, and Rh-negative blood type: a case report.Frontiers in cardiovascular medicine · 2026Article
- Redo axillary artery cannulation in aortic reoperations: Technical variations and implications for optimal outcomes.JTCVS techniques · 2025Article
- Reoperative arch-first total arch repair after previous acute type A aortic dissection repair.JTCVS techniques · 2025Article
- Controversies in Chronic Aortic Dissection.Seminars in interventional radiology · 2024Review
- Clinical study of reoperation for acute type A aortic dissection.Frontiers in cardiovascular medicine · 2024Article
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThis study reports the incidence, outcomes, and risk factors for aortic reinterventions after repair of acute type A aortic dissection (ATAAD).
methodsThis was an observational study of aortic operations from 2010 to 2021. All patients with ATAAD undergoing open aortic arch reconstruction were included. Patients were dichotomized by the need for reintervention, which included reinterventions proximal to or distal to the index aortic repair. Propensity matching was used to determine the impact of reintervention on long-term outcomes. The cumulative incidence function for reintervention was estimated, and multivariable Fine-Gray analysis was performed to identify variables associated with reintervention, with death treated as a competing event.
resultsWe identified 601 patients undergoing surgery for ATAAD. An aortic reintervention was required in 71 (11.8%), comprising a proximal reintervention in 12 patients, a distal reintervention in 56, and both in 3. The cumulative incidence of reintervention was 11.6% (95% CI, 8.9%-14.6%) at 5 years and was 16.0% (95% CI, 12.2%-20.3%) at 10 years, with a median time to reintervention of 4.0 years (interquartile range, 0.9-7.5 years). Multivariable analysis using the Fine-Gray method showed no operative variables were associated with reinterventions. Among the 71 reinterventions, there were 4 (5.6%) operative deaths. After propensity matching, there was no difference in Kaplan-Meier survival estimates across each group (P = .138 by log-rank statistics).
conclusionsThe cumulative incidence of aortic reintervention after ATAAD repair was reasonably low (16% at 10 years), reinterventions were relatively safe (6% operative mortality), and reinterventions did not significantly impact long-term survival.
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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.