Evidence map›Paper›PMID 40688340›Full record

ArticleJournal of thoracic disease2025

The efficacy and safety of castor single-branch stent graft implantation in the treatment of type B acute aortic dissection: a retrospective analysis.

Shangdian Liu, Zhengyang Sun, Jinjin Qin, Yifei Dong, Bin Luo

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Shangdian LiuDepartment of Cardiovascular Surgery, Shenzhen Baoan People's Hospital, Shenzhen, China.
Zhengyang SunDepartment of Cardiovascular Surgery, Shenzhen Baoan People's Hospital, Shenzhen, China.
Jinjin QinDepartment of Cardiovascular Surgery, Shenzhen Baoan People's Hospital, Shenzhen, China.
Yifei DongDepartment of Cardiovascular Surgery, Shenzhen Baoan People's Hospital, Shenzhen, China.
Bin LuoDepartment of Cardiovascular Surgery, Shenzhen Baoan People's Hospital, Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute type B aortic dissection requires timely and effective treatment. With recent focus on evaluating the comparative efficacy and safety of novel Castor single-branch covered-stent implantation, this study investigated the efficacy and safety of Castor single-branch covered-stent implantation in the treatment of acute type B aortic dissection, aiming to provide treatment option for patients with acute type B aortic dissection. Methods: Clinical data of 73 patients with acute type B aortic dissection (January 2020 to November 2021) were retrospectively analyzed. Patients were divided into control [undergoing thoracic endovascular aortic repair (TEVAR), 35 cases] and Castor single-branch covered-stent implantation surgery (38 cases) groups. Baseline data, early postoperative recovery indicators, incidence of early postoperative complications and mortality, long-term prognosis, long-term efficacy, and changes in aortic diameter before and after surgery were compared. Results: Castor single-branch covered-stent implantation surgery group had significantly shorter intensive care unit (ICU) stay (P=0.03), postoperative hospital stay (P=0.01), total hospital stay (P=0.008), total complication rate (P=0.03) compared to the control group. The number of patients requiring secondary intervention (P=0.01) and formation of new intimal tears at the stent edges (P=0.02) was significantly higher in the control group, whereas proportion of stents in position was lower (P=0.01). In the Castor single-branch covered-stent implantation surgery group, number of patients whose condition improved was significantly higher (P=0.046), and the descending aortic diameter postoperatively was longer (P<0.001). Conclusions: Castor single-branch stent graft implantation appears to offer advantages in terms of early postoperative recovery, lower complication rates, and improved long-term prognosis and effectiveness.

Indexed as

acute type B aortic dissectionCastor single-branch stent graft implantation surgerycomplicationsprognosis

Identifiers

PMID40688340
PMCPMC12268859

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