Trends in utilization, timing, and outcomes of thoracic endovascular repair for type B aortic dissection in the United StatesCentral MessagePerspective

Autor: Troy Coaston, BS, Oh Jin Kwon, MD, Amulya Vadlakonda, BS, Jeffrey Balian, Nam Yong Cho, BS, Saad Mallick, MD, Christian de Virgilio, MD, Peyman Benharash, MD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: JTCVS Open, Vol 21, Iss , Pp 35-44 (2024)
Druh dokumentu: article
ISSN: 2666-2736
DOI: 10.1016/j.xjon.2024.07.016
Popis: Background: Aortic dissection is the most common acute aortic syndrome in the United States. Type B aortic dissection (TBAD) can be managed medically, through open surgical repair, or with thoracic endovascular repair (TEVAR). The present study sought to assess contemporary trends in the use and timing of TEVAR. Methods: Adult nonelective TBAD admissions were identified in the 2010 to 2020 Nationwide Readmissions Database. Patients were categorized as medical management (Medical Management), TEVAR at initial hospitalization (Early), or TEVAR during readmission (Delayed). Multivariable models were developed to assess associations with clinical outcomes and resource utilization. Results: Of 85,753 patients, 8.7% underwent TEVAR at index hospitalization (Early). From 2010 to 2020, the proportion undergoing TEVAR decreased significantly (from 11.3% to 9.6%; nptrend
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