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2014, Number s3

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Gac Med Mex 2014; 150 (s3)

Evolution of endovascular treatment compared with medical and surgical treatment in patients with aortic syndrome type B

Eid-Lidt G, Hernández JG, González-Pacheco H, Meléndez- Ramírez G, Molina MJ, Cervantes SJL, Ramírez MS

Language: Spanish
References: 34
Page: 298-305
PDF size: 270.84 Kb.


ABSTRACT

Introduction: Surgical treatment is accepted as conventional treatment of patients with acute aortic syndrome associated to ischemic complications. Promising results of thoracic endovascular aortic repair (TEVAR) has expanded its indication to a variety of thoracic aorta pathologies. Objectives: The objective of this study was to evaluate the safety and efficacy of TEVAR during the in-hospital period and at mid-term follow-up, and compare with medical and surgical treatment in patients who presented with acute aortic syndrome (AAS) type B. Material and methods: Of 113 patients that fulfilled the inclusion criteria, 58 underwent endovascular treatment (Group 1), 34 had medical treatment (Group 2), and 21 had surgical treatment (Group 3). Results: Global and cardiovascular in-hospital mortality was superior in Group 3 (p = 0.0001). Mean follow-up was 30.4 ± 12.2 months. The survival rate free from cardiovascular death was 92.5, 60.5, and 42.9, in Group 1, 2, and 3, respectively, at 36 months. Conclusions: Our results suggest that endovascular treatment is feasible, safe, and associated with a reduction of in-hospital and mid-term major adverse cardiovascular events, and superior survival rate compared with surgical and medical treatment.


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