Endovascular Stent-graft Placement in Stanford Type B Aortic Dissection in China

Abstract 

Objective

The objective of this study was to summarise data about endovascular stent-graft placement for patients with type B aortic dissection (type B-AD) in China.

Methods

All published series in Chinese on endovascular stent-graft placement for type B-AD from 1999 through 2008 were identified. Thirty-five studies, involving a total of 1498 patients, were included in this review.

Results

Procedure success was reported in 89.4±1.7% of the patients. Overall complications were reported in 16.6±1.2% of the patients. Major complications were reported in 1.7±0.2%, with neurological complications in 0.5±0.1%. In-hospital mortality was 2.0±0.4%. The mean follow-up was 24.0±16.1 months.

Conclusion

Endovascular stent-graft placement is technically feasible with high procedure success and relatively low complication rate in selected patient groups with type B-AD. Both short- and mid-term outcomes appear to be favourable.

Keywords: Endovascular, Stent-graft, Aortic dissection