作者
Callum Howard, Jonathan Sheridan, Leonardo Picca, Sihab Reza, Tristan Smith, Anuradha Ponnapalli, Rachel Calow, Olivia Cross, Sashini Iddawela, Melvin George, Deidre Livra Dias, Anand Srinivasan, Wahaj Munir, Mohammad Bashir, Mohammed Idhrees
发表日期
2021/10
来源
Journal of cardiac surgery
卷号
36
期号
10
页码范围
3820-3830
简介
Background
Type B aortic dissection (TBAD), is defined as a dissection involving the aorta distal to left subclavian artery with the ascending aorta and the aortic arch not affected. TBAD is classified due to the time frame and presence of complications. Complicated TBAD (co‐TBAD) patients have a greater mortality rate than uncomplicated TBAD (un‐TBAD) and thoracic endovascular aortic repair (TEVAR) is considered the gold‐standard intervention for these clinical challenges.
Methods
We undertook a systematic review of the literature regarding TEVAR intervention in co‐TBAD and un‐TBAD. A comprehensive search was undertaken across four major databases and was evaluated and assessed until June 2020.
Results
A total of 16,104 patients were included in the study (7772 patients co‐TBAD and 8352 un‐TBAD). A significantly higher proportion of comorbidities were seen in co‐TBAD patients compared …
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