All authors contributed to the revision of the manuscript. J Am College Cardiology. Long-term survival in patients presenting with type B acute aortic dissection: insights from the international registry of acute aortic dissection. EVAR & TEVAR FOR AORTIC DISSECTION & ANEURYSM AORTIC DISSECTION. Survival after endovascular therapy in patients with type B aortic dissection. XRT is the guarantor of the paper, taking responsibility for the integrity of the work as a whole, from incepton to published article. TEVAR was performed according to the procedure described by Dake et al. The optimal cut-off value of SBP was verified by aortic related adverse events (ARAE) and then risk factors for poor SBP control were assessed.A retrospective study was conducted on prospectively collected data of BAD patients undergoing TEVAR from January 2011 to April 2017 at Wuhan Asia Heart Hospital (Wuhan, China). 2006;114(21):2226–31.Fattori R, Montgomery D, Lovato L, Kische S, Di Eusanio M, Ince H, et al. Recent years, several studies have confirmed that SBP at discharge was a significant predictor for long-term outcomes [CVD was a risk factor of ARAE in BAD patients after TEVAR in the present study. 2014;311(5):507–20.Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, et al. Procedures performed for non-dissection related pathology, as well as ATBAD with malperfusion and/or rupture were excluded. 2016;38(8):725–32.Yaghi S, Willey JZ, Cucchiara B, Goldstein JN, Gonzales NR, Khatri P, et al. Blood pressure at follow-up indicates the management of blood pressure among a period of time after discharge, while the one at discharge demonstrates a better state of blood pressure in BAD patients after regular management by clinicians in inpatient department. Endovascular stent-graft placement for the treatment of acute aortic dissection. Vasc Health Risk Manag. Part of
Guidelines recommend tight systolic blood pressure (SBP) control for favorable outcomes of type B aortic dissection (BAD) but are still limited by the optimal cut-off value of SBP. J Clin Hypertens (Greenwich). Each of the patients was measured by contrast-enhanced computed tomography (CT) before TEVAR procedure. Current practice in the treatment of chronic BAD is the use of beta-blockers as first-line therapy to reduce the force of left ventricular ejection, decrease aortic wall stress and improve survival [There are several limitations to the present study.

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Kaplan-Meier calculation of freedom from development of ARAE in BAD patients after TEVAR by grouping with systolic blood pressure at discharge. In multivariable models, binary SBP at discharge was significant associated with 90-day ARAE (HR 3.780; 95% CI 1.236–11.556; The optimal cut-off value of SBP at discharge was 130 mmHg which can be used to predict short-term ARAE. 2014;(2):Cd010426.Melby SJ, Zierer A, Damiano RJ Jr, Moon MR. You can also search for this author in We consider that blood pressure at discharge is inconsistence with the one recorded at follow-up, indicating different implication.
Among them, 1 patients who presented with other aortic lesions besides BAD, 1 with medical history of aortic diseases, 1 with Marfan syndrome, 1 with syphilitic aortic disease, 3 with iatrogenic or traumatic dissection, 5 with cancer, 3 with renal insufficiency, 2 patients who had CVD within 30 days of study enrolment, 4 patients who underwent surgical procedures within 30 days of study enrolment and 2 patients without follow-up records were excluded.

2013;6(8):876–82.Erbel R, Aboyans V, Boileau C, Bossone E, Di Bartolomeo R, Eggebrecht H, et al.

Predictors of poor blood pressure control assessed by 24 hour monitoring in patients with type B acute aortic dissection. Eur Heart J. An aortic dissection is an emergency with your aorta, which is the largest blood vessel in your body and the main artery that takes blood from your heart to the rest of your body. 2015;34(4):503–8.Fujishima S, Takiguchi T, Ibaraki A, Shimazoe H, Hagiwara R, Koyanagi Y, et al. 2014 ESC guidelines on the diagnosis and treatment of aortic diseases. Subsequently, all the patients were divided into SBP ≤ 130 mmHg group and SBP > 130 mmHg group when the 90-day outcomes were analysed.Cumulative ARAE-free rate in all patients was 95.1 ± 1.3% at 90-day follow-up. First-line beta-blockers versus other antihypertensive medications for chronic type B aortic dissection. Type A dissections have the worst prognosis with an overall in-hospital mortality of 30%, whereas BAD tends to have a better prognosis than type A dissections, having an overall in-hospital mortality rate of 13% [In general, different treatments, including medical, TEVAR and surgery, are suitable for BAD patients with different serious conditions.