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Complicated Acute Type B Dissection: Is Surgery Still the Best Option?

A Report From the International Registry of Acute Aortic Dissection

Rossella Fattori, MD^_*,_*, Thomas T. Tsai, MD, Truls Myrmel, MD, PhD^||, Arturo Evangelista, MD, FESC^¶, Jeanna V. Cooper, MS, Santi Trimarchi, MD, Jin Li, MS, Luigi Lovato, MD^_*, Stephan Kische, MD, Kim A. Eagle, MD, Eric M. Isselbacher, MD^#, Christoph A. Nienaber, MD, FACC, FESC

^_* University Hospital S. Orsola, Bologna, Italy
University of Michigan Medical Center, Ann Arbor, Michigan
Istituto Policlinico San Donato, Milano, Italy
University of Rostock, Rostock, Germany
^|| University Hospital of Tromsø, Tromsø, Norway
^¶ Hospital General Universitario Vall d'Hebron, Barcelona, Spain
^# Massachusetts General Hospital, Boston, Massachusetts.

View larger version (15K): [in this window] [in a new window] [Download PPT slide]   Figure 1 Propensity-Matched Quartiles In quartiles 1 and 4, the patients are less well matched and are treated predominantly with endovascular therapy in quartile 1 and surgery in quartile 2. Quartiles 2 and 3 are well matched and balanced with regard to therapy (16 surgery and 29 endovascular therapy).

View larger version (14K): [in this window] [in a new window] [Download PPT slide]   Figure 2 Cause of Death by Management

View larger version (15K): [in this window] [in a new window] [Download PPT slide]   Figure 3 In-Hospital Kaplan-Meier Mortality Estimates by Management