TY - JOUR

T1 - Thoracic Endovascular Repair in Acute Type B Aortic Intramural Haematoma

T2 - Is It Really Better To Fix What Is Broken?

AU - Teraa, Martin

AU - Resch, Timothy A.

PY - 2024

Y1 - 2024

N2 - In the current meta-analysis including a total of eight observational studies Pompeu Sá and colleagues report the pooled data of patients who underwent thoracic endovascular aortic repair (TEVAR; n = 440) or best medical therapy (BMT; n = 575) for acute type B intramural haematoma (IMH).1 After a median follow up of 5.1 years TEVAR was associated with a reduced all cause (HR 0.44, 95% CI 0.30 – 0.65, p < .001) and aortic related (HR 0.04, 95% CI 0.01 – 0.31, p = .002) mortality. The authors therefore cautiously conclude that TEVAR might lead to a lower risk of all cause and aortic specific mortality in patients with type B IMH compared with BMT alone.

AB - In the current meta-analysis including a total of eight observational studies Pompeu Sá and colleagues report the pooled data of patients who underwent thoracic endovascular aortic repair (TEVAR; n = 440) or best medical therapy (BMT; n = 575) for acute type B intramural haematoma (IMH).1 After a median follow up of 5.1 years TEVAR was associated with a reduced all cause (HR 0.44, 95% CI 0.30 – 0.65, p < .001) and aortic related (HR 0.04, 95% CI 0.01 – 0.31, p = .002) mortality. The authors therefore cautiously conclude that TEVAR might lead to a lower risk of all cause and aortic specific mortality in patients with type B IMH compared with BMT alone.

U2 - 10.1016/j.ejvs.2023.12.030

DO - 10.1016/j.ejvs.2023.12.030

M3 - Comment/debate

C2 - 38176450

AN - SCOPUS:85185164761

VL - 67

SP - 593

JO - European Journal of Vascular and Endovascular Surgery

JF - European Journal of Vascular and Endovascular Surgery

SN - 1078-5884

IS - 4

ER -