Endovascular versus medical therapy for uncomplicated type B aortic dissection: a qualitative review.
作者： Jonathan Merola , Karan Garg , Mark A. Adelman , Thomas S. Maldonado , Neal S. Cayne
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摘要: BACKGROUND Uncomplicated type B dissections have been traditionally managed with antihypertensive therapy. In the endovascular era, this dictum has revisited. This review pooled available studies to compare outcomes of best medical therapy (BMT) thoracic aortic repair (TEVAR) for uncomplicated dissections. METHODS A literature search was performed identify on BMT and without TEVAR. The primary outcome measures were mortality rates at 30 days 2 years following intervention. RESULTS total 6 included 123 patients who underwent TEVAR/BMT, 566 had alone. (6.5% TEVAR/BMT vs 4.8% BMT, P = .21) (9.7% 11.9%, .32) similar. Renal failure greater in (15.4% 2.1%, < .01). Rates surgical reintervention/intervention similar (17.6% 20.1%, .31). CONCLUSION TEVAR does not provide survival benefit compared alone, dissection.
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