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Немецкий медицинский журнал Немецкий медицинский журнал

Немецкий медицинский журнал Немецкий медицинский журнал

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Aortic Dissection<br />

THE JOURNAL OF MEDICINE FOR THE WORLDWIDE MED COMMUNITY<br />

Расслоение аорты<br />

Fig. 3: Comparison of elective and<br />

emergency treated patients with<br />

type B aortic dissection [30].<br />

1.0<br />

Elective (n=143)<br />

Рис. 3: Сравнение показателей<br />

эффективной неотложной помощи<br />

пациентам с диссекцией аорты В типа<br />

[30].<br />

Cumulative survival (%)<br />

0.8<br />

0.6<br />

0.4<br />

0.2<br />

Emergency (n=37)<br />

0.0<br />

P=0.159 (log-rank)<br />

0.0 12.0 24.0 36.0 48.0<br />

Follow-up (months)<br />

justifying the conclusion that<br />

thoracic aortic stent-grafting<br />

obviously stabilized the aorta<br />

and decreased the incidence of<br />

late expansion and rupture [16].<br />

Such observations were confirmed<br />

in a meta-analysis on patients<br />

subjected to TEVAR for<br />

of aortic dissection [17]. Procedural<br />

success was obtained<br />

in 98.2% of 609 cases with an<br />

in-hospital surgical conversion<br />

rate of 2.3% and mortality rate<br />

of 5.2%. Complications such<br />

as retrograde extension of the<br />

dissection into the ascending<br />

aorta was reported in 1,9%<br />

with neurological complications<br />

in 2.9%. Both, 30-day mortality<br />

rate and in-hospital complications<br />

were more frequent<br />

with TEVAR for acute complicated<br />

aortic dissection than<br />

in patients with chronic aortic<br />

dissections (9.8% vs. 3.2%,<br />

and 21.7% vs. 9.1% respectively;<br />

p

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