Evidence map›Paper›PMID 41092425›Full record

ArticleInternational journal of surgery (London, England)2026

Retrospective cohort development and internal validation of a prediction model for 30-day mortality after TEVAR in type B aortic dissection.

Ming Hu, Yi-Cong Pan, Jiang-Feng Zhang, Lin Zhang, Qian-Hui Tang, Xiao Qin, Zhan-Man Zhang, Wen-Hong Jiang, Hai-Lin Lu, Zhong Qin and 2 more

Abstract readValidation Study
In one paragraph

Article in International journal of surgery (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Ming HuDepartment of Vascular, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Yi-Cong Pan
Jiang-Feng Zhang
Lin Zhang
Qian-Hui Tang
Xiao Qin
Zhan-Man Zhang
Wen-Hong Jiang
Hai-Lin Lu
Zhong Qin
Si-En Guo
Han Yang

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType B aortic dissection (BAD) carries substantial 30-day mortality despite advances in thoracic endovascular aortic repair (TEVAR), yet individualized prediction tools are lacking.

methodsIn this retrospective single-center study, 1011 consecutive patients with BAD undergoing TEVAR from January 2014 to December 2024 were randomly split 70:30 into training ( n = 708) and validation ( n = 303) cohorts. Pre- and intraoperative variables - including chronic kidney disease (CKD), admission systolic blood pressure (SBP), malperfusion syndrome, d -dimer, creatinine, maximal descending aortic diameter (Max DAD), dissection extent, and false-lumen thrombosis status - were analyzed. Variables with P < 0.05 in univariable analysis entered multivariable logistic regression to identify independent predictors. A nomogram was constructed from final coefficients, and model performance was evaluated by area under the receiver-operating characteristic curve (AUC), calibration, and decision-curve analysis (DCA).

resultsThe overall 30-day mortality was 6.5%. Independent predictors included CKD, higher SBP, malperfusion syndrome, elevated d -dimer, higher creatinine, larger Max DAD, thoracoabdominal extent, and incomplete false-lumen thrombosis. The nomogram yielded an AUC of 0.92 (95% confidence intervals 0.88-0.96) in the training cohort and 0.91 (0.87-0.95) in the validation cohort, with good calibration and net benefit on DCA.

conclusionsThis nomogram accurately predicts 30-day mortality after TEVAR in patients with BAD and may inform individualized perioperative risk stratification. External validation and prospective evaluation are warranted.

Indexed as

Aortic Aneurysm, ThoracicAortic DissectionEndovascular ProceduresAgedEndovascular Aneurysm RepairFemaleHumansMaleMiddle AgedNomogramsRetrospective StudiesRisk AssessmentRisk Factorschronic kidney diseasedescending aortic diametermalperfusion syndromenomogramperioperative mortalityrisk stratificationtype B aortic dissection

Identifiers

PMID41092425
PMCPMC12825637

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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.