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• W2616370467 abstract "Endovascular repair of aortic diseases is a well-established therapeutic alternative for patients with the appropriate anatomy and/or high surgical risk, as it provides lower morbidity and mortality rates. This study aimed to analyse the outcomes of asymptomatic patients undergoing endovascular treatment of thoracic aortic dissections with an aortic diameter > 5.5 cm or endoleaks. Technical success, therapeutic success, morbidity, mortality, and perioperative complication and reintervention rates were assessed. The present retrospective study, which was performed at a reference centre from January, 2010 to July, 2011, analysed consecutive patients undergoing endovascular repair of chronic complicated type B aortic dissections based on the Stanford classification. Twenty-six patients were treated. The mean age was 56.4 ± 7 years, and 61.5% were males. Technical and therapeutic success rates were 100% and 74%, respectively. The perioperative mortality was 7.6%, and the mortality rate in the first year of follow-up was 19.3%. The reintervention rate was 15.3%. In the present study, endovascular treatment of chronic type B aortic dissections proved to be a feasible method associated with acceptable perioperative complication rates. The therapeutic success and reintervention rates indicated the necessity for stringent and careful clinical follow-up of these patients. Tratamento Endovascular da Dissecção Crônica de Aorta Tipo B Complicada A correção endovascular das doenças aórticas está bem estabelecida como alternativa terapêutica para pacientes com anatomia adequada e/ou alto risco cirúrgico, proporcionando menores taxas de morbidade e mortalidade. Nosso objetivo foi analisar os resultados do tratamento de pacientes assintomáticos submetidos a tratamento endo-vascular de dissecções de aorta torácica complicadas, seja por diâmetro aórtico > 5,5 cm ou vazamentos. Avaliamos o sucesso técnico, o sucesso terapêutico, a morbidade e a mortalidade, e as taxas de complicações perioperatórias e de reintervenções. Estudo retrospectivo, realizado em um centro de referência, no período de janeiro de 2010 a julho de 2011, em que foram analisados pacientes consecuti-vos submetidos a correção endovascular de dissecção crônica de aorta tipo B complicada pela classificação de Stanford. Foram tratados 26 pacientes. A média de idade foi de 56,4 ± 7 anos e 61,5% eram do sexo masculino. Os sucessos técnico e terapêutico foram de 100% e 74%, res-pectivamente. A mortalidade perioperatória foi de 7,6% e a taxa de mortalidade no primeiro ano de seguimento foi de 19,3%. A taxa de reintervenção foi de 15,3%. Em nosso estudo, o tratamento endovascular da dissecção crônica de aorta tipo B demonstrou ser um método viável e associado a aceitáveis taxas de complicações perioperatórias. As taxas de sucesso terapêutico e de reintervenções obtidas demonstram a necessidade de seguimento clínico rigoroso e atento desses pacientes." @default.
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• W2616370467 date "2012-01-01" @default.
• W2616370467 modified "2023-09-26" @default.
• W2616370467 title "Endovascular Treatment of Chronic Complicated Type B Aortic Dissection" @default.
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• W2616370467 doi "https://doi.org/10.1016/s2214-1235(15)30050-8" @default.
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