Medium-Term Results of Treatment for Complicated Acute Type B Dissection : A Spanish Experience in a Single Centre
Joint Authors
Fernandez Heredero, Alvaro
Alvarez-Garcia, Jesus
Salazar Alvarez, Andres
Riera de Cubas, Luis
Concepcion Rodriguez, Nieves Aleicel
Stefanov Kiuri, Stefan
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-01-15
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
To analyze and evaluate medium-term results obtained in endovascular treatment of complicated type B dissection.
Methods.
Prospective registry and retrospective analysis of the dissections treated with endoprosthesis in 1998 and 2010.
Comorbidity, clinical presentation, anatomical characteristics, and evolution were recorded.
Actuarial analysis was conducted for survival, follow-up and survival free of endoleaks, and free of reintervention due to relapse and/or progression.
Results.
Eighteen (18) patients were treated (14 male : 4 female), with a median age of 53 years (range 29–80).
Their main symptoms were acute pain in 16 cases and hypertensive crisis in 15.
The indications were 10 dissections not controlled by medication, 4 aneurysm dissecans, 2 acute lower limb ischemias, and 2 Type A progressions.
Median 1.7 devices were used (range 1–4).
Coverage of left subclavian artery was required in 3 cases, and of subclavian and left carotid artery in other 2 cases.
There was a 100% technical success.
Median follow-up was 43.1 months (1.5–127 range).
There were two deaths caused by multiorganic failure, early mortality of 0%, and hospital mortality of 11%.
There was a case of Type I Endoleak and 5 cases which required a new intervention due to relapse and/or progression.
Cumulative survival at 30 months was 88%; follow-up free of endoleaks at 36 months was 91%.
Follow-up free of progression/relapse at 12 months was 88%.
Conclusion.
Endovascular treatment of complicated type B acute dissection is an effective therapy for this condition, with a low associated mortality and with acceptable survival.
American Psychological Association (APA)
Alvarez-Garcia, Jesus& Stefanov Kiuri, Stefan& Fernandez Heredero, Alvaro& Salazar Alvarez, Andres& Concepcion Rodriguez, Nieves Aleicel& Riera de Cubas, Luis. 2014. Medium-Term Results of Treatment for Complicated Acute Type B Dissection : A Spanish Experience in a Single Centre. Journal of Angiology،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-481725
Modern Language Association (MLA)
Alvarez-Garcia, Jesus…[et al.]. Medium-Term Results of Treatment for Complicated Acute Type B Dissection : A Spanish Experience in a Single Centre. Journal of Angiology No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-481725
American Medical Association (AMA)
Alvarez-Garcia, Jesus& Stefanov Kiuri, Stefan& Fernandez Heredero, Alvaro& Salazar Alvarez, Andres& Concepcion Rodriguez, Nieves Aleicel& Riera de Cubas, Luis. Medium-Term Results of Treatment for Complicated Acute Type B Dissection : A Spanish Experience in a Single Centre. Journal of Angiology. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-481725
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-481725