Predictors of Stable Aortic Dimensions in Medically Managed Acute Aortic Syndromes
| Autor: | Udo Sechtem, Kevin M. Harris, Frederik H.W. Jonker, Irad investigators, Kim A. Eagle, Arturo Evangelista, Himanshu J. Patel, Arnoud V. Kamman, Daniel G. Montgomery, Santi Trimarchi |
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| Přispěvatelé: | Surgery |
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Lumen (anatomy) 030204 cardiovascular system & hematology 03 medical and health sciences Sex Factors 0302 clinical medicine Aneurysm Risk Factors medicine Humans Registries 030212 general & internal medicine Aged Aortic dissection business.industry Mortality rate Hazard ratio Thrombosis General Medicine Middle Aged medicine.disease Aortic Aneurysm Surgery Aortic Dissection Dissection Treatment Outcome Acute Disease Cohort Disease Progression Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Vascular Surgery, 42, 143-149. Elsevier Inc. |
| ISSN: | 0890-5096 |
| Popis: | Background We aimed to identify predictors of stable aortic dimensions in medically managed type B aortic dissections (TBAD). Methods Medically managed TBAD patients from the International Registry of Acute Aortic Dissection with available aortic measurements at up to 24 months were included. Growth rate was calculated by dividing the largest descending diameter at the latest end point not influenced by intervention minus initial descending diameter, by the recorded time interval. Patients were split into 2 groups: without aortic growth ( 0.0 mm/year, group II). Results 219 patients had available data for our inclusion criteria and comprised group I (n = 89, 40.6%) and group II (n = 130, 59.4%). Mean expansion rate of the total cohort was 0.19 ± 0.81 cm, mean expansion rate in group I was −0.47 ± 0.54 cm, and in group II, it was +0.63 ± 0.64 cm. Patients in group I were more frequently of Asian descent (15.9% vs. 3.1%, P = 0.001), showed more often intramural hematoma on imaging (57.3% vs. 30.0%, P |
| Databáze: | OpenAIRE |
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