Endovascular stent-graft placement in Stanford type B aortic dissection in China.

Abstract

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. 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. 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. 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.