Analysis of peri-operative cause of death about type B aortic dissection after thoracic endovascular aortic repair

doi:10.3877/cma.j.issn.2095-5782.2014.04.001

Chinese Journal of Interventional Radiology(Electronic Edition) ›› 2014, Vol. 02 ›› Issue (04): 5-8. doi: 10.3877/cma.j.issn.2095-5782.2014.04.001

Special Issue: ；

• Vascular Intervention • Next Articles

Analysis of peri-operative cause of death about type B aortic dissection after thoracic endovascular aortic repair

Shuaitao Shi¹, Shuiting Zhai¹^,^†(), Tianxiao Li¹, Guoquan Wang¹, Zhidong Zhang¹, Kai Liang¹, Xiaoyang Fu¹, Kewei Zhang¹, Kun Li¹, Danghui Lu¹

^1. Vascular and Endovascular Surgery of Henan Provincial People’s Hospital (the Affiliated People’s Hospital of Zhengzhou University), Zhengzhou 450003, China

Received:2013-08-04 Online:2014-11-01 Published:2014-11-01
Contact: Shuiting Zhai
About author:
Corresponding author: Zhai Shuiting, Email: zhaishuiting2008@163.com

Abstract

Abstract:

Objective

To analyze possible peri-operative death reason for type B aortic dissection patients after thoracic endovascular aortic repair (TEVAR).

Methods

From Feb of 2004 to Sep of 2012, 254 patients complicated type B aortic dissection accepted TEVAR. A total of 214 male and 40 female patients were included. Average age was 51.5±12.5 years old. The peri-operative death reason for post-TEVAR were analyzed.

Results

A total of 7 patients died after TEVAR during peri-operative, including 5 male and 2 female patients. Possible reason of death included rupture (3/254, 1.18﹪), intestinal ischemia (2/254, 0.79﹪), respiratory failure (1/254, 0.39﹪) and heart failure (1/254, 0.39﹪).

Conclusions

TEVAR is safe and efficient on treatment of complicated type B aortic dissection. But rupture and intestinal ischemia should be paid more attention.

Key words: Type B aortic dissection, Thoracic endovascular aortic repair (TEVAR), Mortality of peri-operative

Shuaitao Shi, Shuiting Zhai, Tianxiao Li, Guoquan Wang, Zhidong Zhang, Kai Liang, Xiaoyang Fu, Kewei Zhang, Kun Li, Danghui Lu. Analysis of peri-operative cause of death about type B aortic dissection after thoracic endovascular aortic repair[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2014, 02(04): 5-8.

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