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- W1996152783 abstract "We sought to demonstrate the prognostic implication of flap thickness (FT) in type B aortic dissection (TBAD). A retrospective review was undertaken of all patients with TBAD from June 2006 to June 2012. Demographics, hospital course, imaging, and follow-up visits were analyzed. FT on computed tomography angiography (CTA) was measured using full width at half maximum technique. Survival rates and predictors of outcome were determined using the Kaplan-Meier method with Cox proportional hazards. Of 134 patients with TBAD, 101 (75%) had a classical dissection and 33 (24%) had atypical dissection (no dissection flap). FT analysis was available in 63 patients (38 men), with a mean age of 64 ± 15 years. Median follow-up was 33 (0-135) months. Sixteen patients underwent surgical interventions, and 47 were managed non-operatively. Patients with FT >2.5 mm had higher rates of aneurysmal growth (2.7 vs 0.3 mm/y; P = .01). In addition, patients with FT >2.5 mm had worse survival (median survival, 61 vs 100 months; P = .03). However, multivariate analysis showed that only age (hazard ratio, 1.13; 95% confidence interval, 1.06-1.2; P < .000) and growth rate >2 mm were independent predictors of survival (hazard ratio, 0.1; 95% confidence interval, 0.02-0.5; P < .004; Fig). Flap thickness in TABD predicts aneurysmal expansion." @default.
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- W1996152783 date "2014-06-01" @default.
- W1996152783 modified "2023-09-29" @default.
- W1996152783 title "PS8 Flap Thickness in Type B Aortic Dissection Predicts Aneurysmal Expansion" @default.
- W1996152783 doi "https://doi.org/10.1016/j.jvs.2014.03.087" @default.
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