Type A aortic intramural hematoma
Conditions
Interventions
Group 1:surgical treatment
Sponsors
Guangdong Provincial People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1. Within 2 weeks of onset; 2. Involvement of ascending aorta and aortic arch; 3. CTA and UCG examinations of the aorta showed crescent shape or annular high attenuation area in the aortic wall; 4. The results of aortic CTA showed that there was no internal diaphragm flapping in the aortic lumen and no false lumen forming; 5. Aortic CTA results excluded signs of penetrating ulcer.
Exclusion criteria
Exclusion criteria: 1. Aortic diameter >=50mm; 2. Hematoma thickness >=11mm; 3. Traumatic IMH; 4. Combined PAU (PAU diameter > 2cm or depth > 1cm); 5. Unmanageable grade 3 hypertension; 6. Aortic insufficiency (2+); 7. Pericardial effusion (2+) or pleural effusion (2+); 8. Unrelieved chest pain or other IMH-related symptoms; 9. Malperfusion syndrome; 10. Patients were reluctant to join the study and did not follow the follow-up protocol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient survival rate;Perioperative mortality;Complication rate;Postoperative ventilator assisted time;Time in ICU;Length of stay;Patient death;The patient had major complications;Intramural hematoma progressed to dissection and required surgical treatment; | — |
Countries
China
Contacts
Public ContactSun Tucheng
Guangdong Provincial People's Hospital
Outcome results
None listed