Stanford type B acute aortic dissection patients transported within 48 hours of symptom onset , adaptable normally hypotensive medical therapy.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Stanford type B acute aortic dissection patients transported within 48 hours after onset. (2) Standard hypotensive medical therapy (3) Greater than 20 years old at time of consent. (4) Provide voluntary written informed consent for participation in the study after being fully informed.
Exclusion criteria
Exclusion criteria: (1) Patients with the total diameter of descending aorta (minor axis) by CT angiography more than 50mm. (2) Marfan's syndrome patients (3) Patients with continuous pain. (4) Patients with unstable vital signs. (5) Patients with signs or symptoms of organ ischemia (6) Fasting serum levels of TC >/= 250 mg/dL. (7) Known hypersensitivity or history of clinically significant adverse reactions to any component of study drugs. (8) Patients with hepatopathy (ALT >/=100 IU/L) or biliary obstruction with the following conditions - acute hepatitis, acute exacerbation of chronic hepatitis, hepatic cirrhosis, hepatoma, jaundice. (9) Pregnant, possibly pregnant, or lactating. (10) Patients with significant renal dysfunction (serum creatinine >/= 2.0 mg/dL) or renal dialysis. (11) Patient who is judged by the investigator to be inappropriate for inclusion in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percent change and absolute change in the total diameter of the descending aorta (minor axis) by CT angiography | — |
Secondary
| Measure | Time frame |
|---|---|
| Percent change and absolute change in the following items (1)Threatened rupture (2)Surgical operation (3)Serum lipid profile (LDL-C, triglyceride, HDL-C) (4)Serum creatinine (5)Correlation with the total diameter of descending aorta (minor axis) and serum lipid profile or serum creatinine (6)All-cause mortalities (7)Evaluation of adverse events (8)Laboratory test abnormalities | — |
Countries
Japan
Contacts
STANP trial staff Cardiovascular Surgery, Tohoku University, Graduate School of Medicine