Aortic Dissection Type B
Conditions
Keywords
Thoracic aorta, Abdominal aorta, Stents
Brief summary
Authors hypothesize that thoracoabdominal aortic repair combined with bare metal stent implantation is superior over standard thoracoabdominal aortic repair.
Detailed description
Main hypothesis of this study is that thoracoabdominal aortic repair combined with bare metal stent implantation is better permanent neurological deficits, perioperative bleeding, malperfusion of viscera over conventional thoracoabdominal aortic repair.
Interventions
Thoracoabdominal aortic dissection (TAAD) repair + bare aortic stent (Djumbodis) implantation
Thoracoabdominal aortic dissection (TAAD) repair
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with chronic aortic dissection type B * Aortic size in descending thoracoabdominal aorta (TAA) \> 55 mm
Exclusion criteria
* concomitant cardiac pathology * concomitant oncology diseases in the last 5 years * acute aortic dissection * aortic size in visceral zone \>45 mm * connectivity tissue diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Permanent neurological events | 30 days | Quantity of permanent neurological events such as stroke and paraplegia by 30th day after procedure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Perioperative bleeding | 5 days after procedure | Volume of perioperative and postoperative bleeding in ICU |
| Mortality | 6 months | Postoperative mortality will be measured during 6 months after procedure |
| Visceral malperfusion | 6 months | Clinical evidences of visceral malperfusion (acute or achronic abdomen ischemia) during 6 months after procedure (Yes or No) |