Unfavorable thoracic aortic remodeling early after open surgery for Stanford A aortic dissection
Conditions
Interventions
Treatment group:Endovascular repair
Control group:No special surgical intervention
Sponsors
West China Hospital, Sichuan University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients aged between 18 and 80 years old; 2. Patients with Stanford type A aortic dissection within 90 days of onset and 30 days after Sun's operation; 3. No aortic surgery history other than Sun's operation; 4. Residual aortic dissection at the distal end of the elephant trunk stent and its involvement to the ostia of the celiac trunk; 5. The volume of the thoracic aortic false lumen from the end of the trunk stent to the horizontal segment of the diaphragm > 50% of the segemental aortic volume; 6. The thoracic descending aorta with residual tear; 7. The left subclavian artery has been revascularized; 8. The life expectancy of the patient is more than 12 months; 9. The patient can understand the purpose of the trial. Volunteer to participate and sign informed consent; 10. Patients are willing to follow-up evaluation according to the requirements of clinical trial program.
Exclusion criteria
Exclusion criteria: 1. Pregnant or lactating patients; 2. Chronic aortic dissection (onset > 3 months); 3. Patients who are not suitable for endovascular repairs, such as no suitable vascular approach, allergy to nickel-titanium alloy, severe renal insufficiency or may have severe reaction to contrast media; 4. Patients with myocardial infarction or cerebrovascular accident within 3 months; 5. Patients with poor compliance; 6. Patients who participated in other clinical studies at the same time.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| All-cause mortality;Reintervention rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Organ ischemia and dysfunction;Stent-related complications;Morphological index; | — |
Countries
China
Contacts
Public ContactJia Hu
West China Hospital, Sichuan University
Outcome results
None listed