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Conference Paper: A systematic review on contemporary endovascular treatment of type B aortic dissection in China

TitleA systematic review on contemporary endovascular treatment of type B aortic dissection in China
Authors
KeywordsMedical sciences
Surgery
Issue Date2015
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH
Citation
The 2015 Conjoint Scientific Congress of The Royal College of Surgeons of Edinburgh and The College of Surgeons of Hong Kong, and the 20th Asian Congress of Surgery of The Asian Surgical Association, Hong Kong, 11-13 September 2015. In Surgical Practice, 2015, v. 19 suppl. S1, p. 8, abstract no. EFP3 How to Cite?
AbstractOBJECTIVE: Endovascular stent-grafts had been used since 1999 in China for the treatment of type B aortic dissection, and there is a plethora of cohort studies in the contemporary literature. The aim of this paper is to analyze the published results of endovascular treatment for type B aortic dissection in China. METHOD: A systematic literature review was undertaken of all published literature from January 1999 to December 2014 on endovascular treatment of type B aortic dissection in China using PubMed, MEDLINE and Chinese National Knowledge Infrastructure (CNKI) databases. RESULTS: There were 70 papers retrieved (4 English, 66 Chinese) with a total of 4208 patients. 3396 patients (80.7%) were males, mean age ranged from 43 to 65 years. Procedural success was reported in 99.4 ± 1.7% of patients, 5 patients required emergency conversion to open operation. Overall complications were reported in 14.6 ± 11.1% of the patients. Major complications were reported in 1.7 ± 2.9% with the most devastating neurologic complications in 1.1 ± 2.2%. The incidence of stroke and paraplegia was 0.9 ± 2.4% and 1.5 ± 0.7%, respectively. Postoperative endoleak was observed in 8.1 ± 7.6%. The 30-day post-operative mortality was 2.4 ± 3.3%. During the follow-up, false lumen thrombosis were observed in 92.1 ± 11.7%. Re-intervention was performed in 1.3 ± 3.3% of the patients. Endoleak was observed in 2.7 ± 4.4%, mortality was 2.2 ± 3.2%. CONCLUSIONS: Current evidence seems to suggest that endovascular stent-graft for type B aortic dissection in China is feasible and safe with low perioperative complication and short-term mortality. However, standardised reporting system and long-term follow data is lacking.
DescriptionConference Theme: Surgery for Tomorrow's Asia
Extra Free Paper Presentation
This free journal suppl. entitled: Special Issue: RCSEd/CSHK Conjoint Scientific Congress 2015, ASA 20th Asian Congress of Surgery
Persistent Identifierhttp://hdl.handle.net/10722/220648
ISSN
2013 Impact Factor: 0.172
2015 SCImago Journal Rankings: 0.121

 

DC FieldValueLanguage
dc.contributor.authorLi, HL-
dc.contributor.authorChan, YC-
dc.contributor.authorCui, DZ-
dc.contributor.authorCheng, SWK-
dc.date.accessioned2015-10-16T06:48:21Z-
dc.date.available2015-10-16T06:48:21Z-
dc.date.issued2015-
dc.identifier.citationThe 2015 Conjoint Scientific Congress of The Royal College of Surgeons of Edinburgh and The College of Surgeons of Hong Kong, and the 20th Asian Congress of Surgery of The Asian Surgical Association, Hong Kong, 11-13 September 2015. In Surgical Practice, 2015, v. 19 suppl. S1, p. 8, abstract no. EFP3-
dc.identifier.issn1744-1625-
dc.identifier.urihttp://hdl.handle.net/10722/220648-
dc.descriptionConference Theme: Surgery for Tomorrow's Asia-
dc.descriptionExtra Free Paper Presentation-
dc.descriptionThis free journal suppl. entitled: Special Issue: RCSEd/CSHK Conjoint Scientific Congress 2015, ASA 20th Asian Congress of Surgery-
dc.description.abstractOBJECTIVE: Endovascular stent-grafts had been used since 1999 in China for the treatment of type B aortic dissection, and there is a plethora of cohort studies in the contemporary literature. The aim of this paper is to analyze the published results of endovascular treatment for type B aortic dissection in China. METHOD: A systematic literature review was undertaken of all published literature from January 1999 to December 2014 on endovascular treatment of type B aortic dissection in China using PubMed, MEDLINE and Chinese National Knowledge Infrastructure (CNKI) databases. RESULTS: There were 70 papers retrieved (4 English, 66 Chinese) with a total of 4208 patients. 3396 patients (80.7%) were males, mean age ranged from 43 to 65 years. Procedural success was reported in 99.4 ± 1.7% of patients, 5 patients required emergency conversion to open operation. Overall complications were reported in 14.6 ± 11.1% of the patients. Major complications were reported in 1.7 ± 2.9% with the most devastating neurologic complications in 1.1 ± 2.2%. The incidence of stroke and paraplegia was 0.9 ± 2.4% and 1.5 ± 0.7%, respectively. Postoperative endoleak was observed in 8.1 ± 7.6%. The 30-day post-operative mortality was 2.4 ± 3.3%. During the follow-up, false lumen thrombosis were observed in 92.1 ± 11.7%. Re-intervention was performed in 1.3 ± 3.3% of the patients. Endoleak was observed in 2.7 ± 4.4%, mortality was 2.2 ± 3.2%. CONCLUSIONS: Current evidence seems to suggest that endovascular stent-graft for type B aortic dissection in China is feasible and safe with low perioperative complication and short-term mortality. However, standardised reporting system and long-term follow data is lacking.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH-
dc.relation.ispartofSurgical Practice-
dc.rightsPreprint This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article]. Authors are not required to remove preprints posted prior to acceptance of the submitted version. Postprint This is the accepted version of the following article: [full citation], which has been published in final form at [Link to final article].-
dc.subjectMedical sciences-
dc.subjectSurgery-
dc.titleA systematic review on contemporary endovascular treatment of type B aortic dissection in China-
dc.typeConference_Paper-
dc.identifier.emailChan, YC: ycchan88@hkucc.hku.hk-
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hk-
dc.identifier.authorityChan, YC=rp00530-
dc.identifier.authorityCheng, SWK=rp00374-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1111/1744-1633.12144-
dc.identifier.hkuros255780-
dc.identifier.volume19-
dc.identifier.issuesuppl. S1-
dc.identifier.spage8, abstract no. EFP3-
dc.identifier.epage8, abstract no. EFP3-
dc.publisher.placeAustralia-

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