TY - JOUR
T1 - Thoracic Endovascular Repair in Acute Type B Aortic Intramural Haematoma
T2 - Is It Really Better To Fix What Is Broken?
AU - Teraa, Martin
AU - Resch, Timothy A.
PY - 2024
Y1 - 2024
N2 - In the current meta-analysis including a total of eight observational studies Pompeu Sá and colleagues report the pooled data of patients who underwent thoracic endovascular aortic repair (TEVAR; n = 440) or best medical therapy (BMT; n = 575) for acute type B intramural haematoma (IMH).1 After a median follow up of 5.1 years TEVAR was associated with a reduced all cause (HR 0.44, 95% CI 0.30 – 0.65, p < .001) and aortic related (HR 0.04, 95% CI 0.01 – 0.31, p = .002) mortality. The authors therefore cautiously conclude that TEVAR might lead to a lower risk of all cause and aortic specific mortality in patients with type B IMH compared with BMT alone.
AB - In the current meta-analysis including a total of eight observational studies Pompeu Sá and colleagues report the pooled data of patients who underwent thoracic endovascular aortic repair (TEVAR; n = 440) or best medical therapy (BMT; n = 575) for acute type B intramural haematoma (IMH).1 After a median follow up of 5.1 years TEVAR was associated with a reduced all cause (HR 0.44, 95% CI 0.30 – 0.65, p < .001) and aortic related (HR 0.04, 95% CI 0.01 – 0.31, p = .002) mortality. The authors therefore cautiously conclude that TEVAR might lead to a lower risk of all cause and aortic specific mortality in patients with type B IMH compared with BMT alone.
U2 - 10.1016/j.ejvs.2023.12.030
DO - 10.1016/j.ejvs.2023.12.030
M3 - Comment/debate
C2 - 38176450
AN - SCOPUS:85185164761
VL - 67
SP - 593
JO - European Journal of Vascular and Endovascular Surgery
JF - European Journal of Vascular and Endovascular Surgery
SN - 1078-5884
IS - 4
ER -