Type A aortic dissection Circulatory System
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Type A aortic dissection or intramural hematoma involving the aortic root/ascending aorta 2. Patients aged > 18 years 3. Symptoms started within 7 days before surgery 4. Primary surgical repair of acute TAAD 5. Any other major cardiac surgical procedure concomitant with surgery for TAAD
Exclusion criteria
Exclusion criteria: 1. Patients aged 7 days from surgery 3. Prior procedure for TAAD 4. Type non-A non-B aortic dissection 5. Retrograde TAAD (with primary tear located in descending aorta) 6 Concomitant endocarditis 7. TAAD secondary to blunt or penetrating chest trauma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Mortality measured using hospital records, national database and/or contacting patients, their relatives or general practitioners, until the last follow-up control 2. Reoperation on any segment of the aorta for aortic dissection or its related complications, measured using hospital records, national database and/or contacting patients, their relatives or general practitioners, until the last follow-up control | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Stroke or global brain ischemia measured using hospital records during the index hospital stay 2. Acute kidney injury measured using hospital records during the index hospital stay 3. Surgical site infection measured using hospital records during the index hospital stay 4. Reoperation for bleeding measured using hospital records during the index hospital stay 5. Blood transfusion measured using hospital records during the index hospital stay 6. Paraplegia/paraparesis measured using hospital records during the index hospital stay | — |
Countries
Belgium, Czech Republic, England, Finland, France, Germany, Hungary, Italy, Netherlands, Spain, United Kingdom, United States of America