The results of stent graft versus medication therapy for chronic type B dissection  Xin Jia, MD, Wei Guo, MD, Tian-xiao Li, MD, Sheng Guan, MD, Rui-min.

Slides:



Advertisements
Similar presentations
Restrictive bare stent for prevention of stent graft-induced distal redissection after thoracic endovascular aortic repair for type B aortic dissection 
Advertisements

Management strategy for spontaneous isolated dissection of the superior mesenteric artery based on morphologic classification  Dong-lin Li, MD, Yang-yan.
Albert C. W. Ting, MS, FRCS, Stephen W. K
Open Distal Fenestration of Chronic Dissection Facilitates Endovascular Elephant Trunk Completion: Late Outcomes  Muhammad Aftab, MD, Jay J. Idrees, MD,
The challenge of associated intramural hematoma with endovascular repair for penetrating ulcers of the descending thoracic aorta  Himanshu J. Patel, MD,
Acute blunt traumatic injury to the descending thoracic aorta
Elisabeth Schwierz, MD, Ralf R
Girma Tefera, MD, Charles W. Acher, MD, John R
Thoracic aortic lesions treated with the Zenith TX1 and TX2 thoracic devices: Intermediate- and long-term outcomes  Jose P. Morales, MD, Roy K. Greenberg,
Reverse extra-anatomic aortic arch debranching procedure allowing thoracic endovascular aortic repair of a chronic ascending aortic aneurysm  Ludovic.
Morphologic findings and management strategy of spontaneous isolated dissection of the celiac artery  Jie Sun, MD, Dong-lin Li, MD, PhD, Zi-heng Wu, MD,
Endovascular management of ruptured abdominal aortic aneurysms: 6-year experience from a Greek center  Thomas S. Gerassimidis, MD, PhD, Konstantinos O.
Impact on outcomes by measuring tortuosity with reporting standards for thoracic endovascular aortic repair  Chun-Ku Chen, MD, I-Ping Liang, MD, Hsiao-Ting.
Reintervention after thoracic endovascular aortic repair of complicated aortic dissection  Elsa M. Faure, MD, Ludovic Canaud, MD, PhD, Camille Agostini,
Combined surgical and endovascular treatment of aortic arch aneurysms
Endovascular repair of abdominal aortic aneurysm in octogenarians: An analysis based on EUROSTAR data  Conrad Lange, MD, Lina J. Leurs, MSc, Jaap Buth,
Inducing false lumen thrombosis for retrograde type A aortic dissection  Rongjie Zhang, MD, Jian Zhou, MD, Jiaxuan Feng, MD, Zhiqing Zhao, MD, Junjun Liu,
Early and midterm results of thoracic endovascular aortic repair of chronic type B aortic dissection  Shang Dong Xu, MD, Fang Jiong Huang, MD, Jin Fei.
Stented Elephant Trunk Technique for Retrograde Type A Aortic Dissection After Endovascular Stent Graft Repair  Bin Li, MD, Xu-Dong Pan, MD, Wei-Guo Ma,
Aortic remodeling after endovascular treatment of complicated type B aortic dissection with the use of a composite device design  Joseph V. Lombardi,
Results of the United States multicenter prospective study evaluating the Zenith fenestrated endovascular graft for treatment of juxtarenal abdominal.
Staged endovascular stent grafts for concurrent mobile/ulcerated thrombi of thoracic and abdominal aorta causing recurrent spontaneous distal embolization 
Fourteen-year outcomes of abdominal aortic endovascular repair with the Zenith stent graft  Fabio Verzini, MD, PhD, FEBVS, Lydia Romano, MD, Gianbattista.
What is the clinical utility of a 6-month computed tomography in the follow-up of endovascular aneurysm repair patients?  Michael R. Go, MD, Joel E. Barbato,
Distal aortic arch aneurysm after endovascular stent graft repair for type B chronic aortic dissection  Claudio F. Russo, MD, Andrea Garatti, MD, Maurizio.
Total Arch Replacement With Stented Elephant Trunk Technique for Acute Type B Aortic Dissection Involving the Aortic Arch  Hai-Peng Zhao, MD, Jun-Ming.
Novel temporary endovascular shunt technique to assist in situ fenestration for endovascular reconstruction of the distal aortic arch  Jiang Xiong, MD,
Volume analysis of true and false lumens in acute complicated type B aortic dissections after thoracic endovascular aortic repair with stent grafts alone.
Gary R. Seabrook, MD  Journal of Vascular Surgery 
Long-term durability of open abdominal aortic aneurysm repair
Therapeutic management of superior mesenteric artery aneurysms
Endovascular abdominal aortic aneurysm repair: Long-term outcome measures in patients at high-risk for open surgery  Gregorio A. Sicard, MD, Robert M.
Thoracic endovascular aortic repair of aortobronchial fistulas
Efficacy of thoracic endovascular stent repair for chronic type B aortic dissection with aneurysmal degeneration  Salvatore T. Scali, MD, Robert J. Feezor,
Durability and survival are similar after elective endovascular and open repair of abdominal aortic aneurysms in younger patients  Kevin Lee, MD, Elaine.
Infected aneurysm of the thoracic aorta
Risk factors of incomplete thrombosis in the false lumen after endovascular treatment of extensive acute type B aortic dissection  Yong-Lin Qin, MD, Gang.
Endovascular repair of thoracic stent-graft bulging rupture in a patient with multiple thoracic aneurysms due to Takayasu disease  Guido Regina, MD, Alessandro.
Restrictive bare stent for prevention of stent graft-induced distal redissection after thoracic endovascular aortic repair for type B aortic dissection 
Hybrid aortic arch repair for complicated type B aortic dissection
Endovascular treatment of aortoesophageal and aortobronchial fistulae
Elisabeth Schwierz, MD, Ralf R
Management strategy for spontaneous isolated dissection of the superior mesenteric artery based on morphologic classification  Dong-lin Li, MD, Yang-yan.
Kenneth Ouriel, MD, Daniel G. Clair, MD, K
Endovascular repair of lesions involving the descending thoracic aorta
National trends in utilization, mortality, and survival after repair of type B aortic dissection in the Medicare population  Douglas W. Jones, MD, Philip.
Reporting standards for thoracic endovascular aortic repair (TEVAR)
Outcomes of endovascular aneurysm repair with selective internal iliac artery coverage without coil embolization  Konstantinos O. Papazoglou, MD, PhD,
Philipp Geisbüsch, MD, Drosos Kotelis, MD, Tim F
Jon S. Matsumura, MD, Germano Melissano, MD, Richard P
Coil embolization of persistent false lumen after stent graft repair of type B aortic dissection  Enrique María San Norberto, MD, Vicente Manuel Gutiérrez,
Evaluation of volumetric measurements in patients with acute type B aortic dissection – thoracic endovascular aortic repair (TEVAR) vs conservative  Iris.
Evaluation of the Endurant stent graft under instructions for use vs off-label conditions for endovascular aortic aneurysm repair  Giovanni Torsello,
Chung-Dann Kan, MD, Hsin-Ling Lee, MD, Yu-Jen Yang, MD, PhD 
Hybrid management of ruptured isolated superior mesenteric artery dissecting aneurysm  Yoshikatsu Nomura, MD, Masato Yamaguchi, MD, Atsushi Kitagawa,
David H. Stone, MD, David C. Brewster, MD, Christopher J
Scott A. LeMaire, MD, Susan Y
The first endovascular repair of an acute type A dissection using an endograft designed for the ascending aorta  Matthew J. Metcalfe, MD, MRCS, Alan Karthikesalingam,
Aortic remodeling after endovascular repair with stainless steel-based stent graft in acute and chronic type B aortic dissection  Chih-Pei Ou Yang, MD,
Jocelyn M. Beach, MD, Yuki Kuramochi, RN, BSN, Corey Brier, MA, Eric E
Repair of Acute Type A Aortic Dissections Using Open Replacement With Triple- Branched Stent Grafts  Jun Pan, MD, Qing-Guo Li, MD, Qing Zhou, MD, Qiang.
Endovascular treatment of acute and chronic aortic dissection: Midterm results from the Talent Thoracic Retrospective Registry  Stephan Kische, MD, Marek.
Derek P. Nathan, MD, Edward Y. Woo, MD, Ronald M. Fairman, MD, Grace J
Emergency endovascular stent grafting in acute complicated type B dissection  Dominik Wiedemann, MD, Marek Ehrlich, MD, Philippe Amabile, MD, Luigi Lovato,
Endovascular Repair for Thoracic Aortic False Aneurysms: Single-Center Experience in 102 Patients  Yu-Guo Xue, MD, Wei-Guo Ma, MD, Wen-Hui Wu, MD, Paris.
G. Chad Hughes, MD, Asvin M. Ganapathi, MD, Jeffrey E
Chronic kidney disease classification stratifies mortality risk after elective stent graft repair of the thoracic aorta  Massimiliano M. Marrocco-Trischitta,
Sukgu M. Han, MD, Warren J. Gasper, MD, Timothy A.M. Chuter, MD 
A novel percutaneous double-lumen stent graft technique for treatment of chronic type B aortic dissection under local anesthesia  Sophie Wang, BS, Mahmoud.
Endovascular repair of a type B aortic dissection with a ventricular septal defect occluder  Guangqi Chang, MD, Huishen Wang, MD, Wei Chen, MD, Chen Yao,
Presentation transcript:

The results of stent graft versus medication therapy for chronic type B dissection  Xin Jia, MD, Wei Guo, MD, Tian-xiao Li, MD, Sheng Guan, MD, Rui-min Yang, MD, Xiao-ping Liu, MD, Min-hong Zhang, MD, Jiang Xiong, MD  Journal of Vascular Surgery  Volume 57, Issue 2, Pages 406-414 (February 2013) DOI: 10.1016/j.jvs.2012.08.064 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Flowchart of the study. OMT, Optimal medical therapy; TEVAR, thoracic endovascular aorta repair. Journal of Vascular Surgery 2013 57, 406-414DOI: (10.1016/j.jvs.2012.08.064) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Kaplan-Meier estimates of overall cumulative survival rate in the two groups (P = .0678 by log-rank test). B, Kaplan-Meier estimates of aorta-related survival rate in the two groups (P = .0392 by log-rank test). C, Kaplan-Meier estimates of cumulative freedom from the combined end point of progression and adverse events (P = .0978 by log-rank test). OMT, Optimal medical therapy; TEVAR, thoracic endovascular aorta repair. Journal of Vascular Surgery 2013 57, 406-414DOI: (10.1016/j.jvs.2012.08.064) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Contrast-enhanced computed tomography (CT) of type B dissection (A) and comparable scans 12 months after thoracic endovascular aorta repair (TEVAR) (B) showing complete obliteration and progressive resolution of the false lumen in the thoracic aorta. Journal of Vascular Surgery 2013 57, 406-414DOI: (10.1016/j.jvs.2012.08.064) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 4 A, Aorta rupture found at the distal landing zone 15 months after thoracic endovascular aorta repair (TEVAR). B, TEVAR in another patient with distal protection by an OptiMed bare stent. Journal of Vascular Surgery 2013 57, 406-414DOI: (10.1016/j.jvs.2012.08.064) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 5 Contrast-enhanced computed tomography (CT) of type B dissection (A) and comparable scans 24 months later (B) and 52 months later with emergent thoracic aorta rupture (C). Journal of Vascular Surgery 2013 57, 406-414DOI: (10.1016/j.jvs.2012.08.064) Copyright © 2013 Society for Vascular Surgery Terms and Conditions