tevar in aortic dissection

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Thoracic endovascular aneurysm repair (TEVAR) is a lifesaving therapy and currently the preferred treatment modality for patients with Type B aortic dissection presenting with complications such as aortic rupture or malperfusion syndrome. BYX contributed to the analysis and interpretation of data. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the eighth joint National Committee (JNC 8). Methods. Patients with medical history of aortic diseases, Marfan syndrome or other connective tissue diseases, bicuspid aortic valve, iatrogenic or traumatic dissection, syphilis and other inflammatory diseases of the aorta, cancer, pregnancy, severe renal or respiratory or cardiac insufficiency were excluded. The purpose of this study was to evaluate the optimal cut-off value of SBP in BAD patients after thoracic endovascular aortic repair (TEVAR).From January 2011 to April 2017, 269 consecutive patients with BAD after TEVAR were included in the study.

Written informed consent were obtained from all participants.The authors declare that they have no conflict of interest.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. J Clin Hypertens (Greenwich). Circulation journal : official journal of the Japanese Circulation Society. 2015;34(4):503–8.Fujishima S, Takiguchi T, Ibaraki A, Shimazoe H, Hagiwara R, Koyanagi Y, et al. Ninety-day ARAE was used for statistical analysis in our study.ARAE were defined as aortic related death, new dissection, progression of aortic dissection (aortic rupture, necessitating surgical procedure or TEVAR after discharge), malperfusion (bowel ischemia, renal ischemia and lower limb ischemia), paraplegia, major stroke or endoleaks [One-Sample Kolmogorov-Smirnov test was used to evaluate the distribution of all variables. Among them, 1 patients who presented with other aortic lesions besides BAD, 1 with medical history of aortic diseases, 1 with Marfan syndrome, 1 with syphilitic aortic disease, 3 with iatrogenic or traumatic dissection, 5 with cancer, 3 with renal insufficiency, 2 patients who had CVD within 30 days of study enrolment, 4 patients who underwent surgical procedures within 30 days of study enrolment and 2 patients without follow-up records were excluded. Finally, the choice of antihypertensive medications was leftat the physician’s discretion and subject to potential selection bias.The optimal cut-off value of SBP at discharge was 130 mmHg which can be used to predict 90-day ARAE. Endovascular stent-graft placement for the treatment of acute aortic dissection. You can also search for this author in After matching 187 patients in each of the 1-14 and 15-90 day treatment groups, there were no statistically significant differences between groups. 2016;38(8):725–32.Yaghi S, Willey JZ, Cucchiara B, Goldstein JN, Gonzales NR, Khatri P, et al.

Current practice in the treatment of chronic BAD is the use of beta-blockers as first-line therapy to reduce the force of left ventricular ejection, decrease aortic wall stress and improve survival [There are several limitations to the present study. However, the temporal association of TEVAR with morbidity after uncomplicated presentations is poorly understood and has not previously been examined using real-world national data. (ARAE: aortic-related adverse events; BAD: type B aortic dissection; TEVAR: thoracic endovascular aortic repair)All patients were divided into 2 groups according to the significant cut-off value of SBP at discharge: SBP ≤ 130 mmHg group and SBP > 130 mmHg group. 2014;101(3):216–24; discussion 24.Chan KK, Lai P, Wright JM. 2014;311(5):507–20.Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, et al. TEVAR was performed according to the procedure described by Dake et al. J Am Coll Cardiol. Univariate and multivariable analysis after matching was used to determine differences between timing groups (symptom onset to TEVAR: acute, 1-14 vs. subacute, 15-90 days) for post-operative mortality, in-hospital complications, and re-intervention.A total of 688 cases meeting inclusion criteria were identified. J Thorac Cardiovasc Surg. Table In the present, we examined the optimal cut-off value of SBP at discharge and the risk factors for poor blood pressure control. TEVAR for complicated type B aortic dissection has also been associated with decreased aortic diameter; however, this remains controversial as it has not been demonstrated consistently.

The optimal cut-off value of SBP was verified by aortic related adverse events (ARAE) and then risk factors for poor SBP control were assessed.A retrospective study was conducted on prospectively collected data of BAD patients undergoing TEVAR from January 2011 to April 2017 at Wuhan Asia Heart Hospital (Wuhan, China). All authors contributed to the revision of the manuscript. ScienceDirect ® is a registered trademark of Elsevier B.V.Timing of TEVAR for Uncomplicated Acute Type B Aortic Dissection and the Association with Complications© 2020 Published by Elsevier Inc. on behalf of the Society for Vascular Surgery.ScienceDirect ® is a registered trademark of Elsevier B.V.

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