title: Early and long-term outcome after thoracic endovascular aortic repair (TEVAR) for acute complicated type B aortic dissection.
abstract: OBJECTIVE
  The study aimed to investigate early and long-term outcome of thoracic endovascular aortic repair (TEVAR) for acute complicated type B dissection.
  
  
  METHODS
  This was a retrospective, single-centre, consecutive case series.
  
  
  METHODS
  During the period 1999-2009, TEVAR was carried out in 50 patients with non-traumatic acute complicated type B dissection, and in another 10 patients with acute complications, including rupture, end-organ ischaemia and acute dilatation during the primary hospitalisation, but >14 days after onset of symptoms. Thus, in total, 60 patients were included; 22 with a DeBakey type IIIa dissection and 38 with a type IIIb; median age was 67 years. Early (30-day) and long-term (5-year) survival, re-intervention rate and complications were recorded until 1 July 2010.
  
  
  RESULTS
  Within 30 days, two (3%) deaths, one (2%) paraplegia and three (5%) strokes were observed. Five-year survival was 87% and freedom from re-intervention at 5 years was 65%.
  
  
  CONCLUSIONS
  In patients with acute complicated type B aortic dissection, TEVAR can be performed with excellent early and long-term survival, whereas morbidity and long-term durability must be further elucidated.
authors.affiliation: Institution of Surgical Sciences, Department of Vascular Surgery, Uppsala University, Sweden. johnny.steuer@akademiska.se
authors.forename: J
authors.initials: J
authors.lastname: Steuer
authors.forename: M-O
authors.initials: MO
authors.lastname: Eriksson
authors.forename: R
authors.initials: R
authors.lastname: Nyman
authors.forename: M
authors.initials: M
authors.lastname: Björck
authors.forename: A
authors.initials: A
authors.lastname: Wanhainen
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000401:mortality; D057510:Endovascular Procedures / Q000009:adverse effects / Q000401:mortality; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology; D012086:Reoperation; D012189:Retrospective Studies; D020521:Stroke / Q000209:etiology; D015996:Survival Rate; D013548:Sweden; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome