{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T22:10:38Z","timestamp":1747174238222,"version":"3.40.5"},"reference-count":30,"publisher":"Hogrefe Publishing Group","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasa"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p> Summary: Background: The aim of this study was to explore the impact of post-implantation syndrome (PIS) on prognosis outcomes in individuals with type B acute aortic syndrome (AAS) undergoing thoracic endovascular aortic repair (TEVAR). Patients and methods: Data from type B AAS individuals who underwent TEVAR from January 2014 to April 2021 were retrospectively reviewed. Study subjects were divided into PIS and non-PIS (nPIS) groups and postoperative clinical outcomes were analyzed. Results: Our study cohort of 74 individuals with type B AAS included 40 aortic dissection (AD), 30 intramural hematoma (IMH), 4 penetrating aortic ulcer (PAU). The incidence of PIS was 14.9%. No statistically significant differences were found in baseline characteristics. The left subclavian artery (LSCA) reconstruction was performed more frequently among the PIS group (45.5% vs 9.5%, p=.008). Major adverse events (MAE) tended to be more frequent in the PIS group, but the difference was not significant (27.3% vs 22.2%, p=.707). At 2-year follow-up, results were comparable between the two groups. Kaplan-Meier analysis showed that PIS was not associated with a higher incidence of mortality, endoleak, new-onset AD, or stroke. A baseline neutrophil-to-lymphocyte ratio (NLR) &gt;10.3 was associated with greater incidence of MAE. In individuals with IMH, better aortic remodeling evaluated by lower total aortic diameter\/true lumen diameter (TAD\/TLD) was achieved in the nPIS group (1.23\u00b10.10 vs 1.43\u00b10.07, p&lt;.001), and a TAD\/TLD ratio &gt;1.32 was associated with significantly more MAE. Cox multivariate regression analysis also showed that a postoperative TAD\/TLD ratio &gt;1.32 was an independent risk factor for MAE (OR, 11.36; 95% CI, 1.53\u201384.26; p=.017). Conclusions: PIS was associated with a trend toward a higher incidence of MAE after TEVAR. In individuals with IMH, a TAD\/TLD ratio &gt;1.32 was an independent predictor of postoperative MAE. <\/jats:p>","DOI":"10.1024\/0301-1526\/a001102","type":"journal-article","created":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T10:37:42Z","timestamp":1703155062000},"page":"53-60","source":"Crossref","is-referenced-by-count":0,"title":["Impact of post-implantation syndrome on outcomes in acute type B \t\t\t\t\taortic syndrome patients undergoing endovascular repair"],"prefix":"10.1024","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0569-2862","authenticated-orcid":true,"given":"Bin","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Harrison \t\t\t\t\tInternational Peace Hospital, Hengshui, Hebei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miao","family":"Miao","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Harrison International \t\t\t\t\tPeace Hospital, Hengshui, Hebei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiulin","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Harrison \t\t\t\t\tInternational Peace Hospital, Hengshui, Hebei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haiying","family":"Xian","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Harrison \t\t\t\t\tInternational Peace Hospital, Hengshui, Hebei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuecheng","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Harrison \t\t\t\t\tInternational Peace Hospital, Hengshui, Hebei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoxiang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Harrison \t\t\t\t\tInternational Peace Hospital, Hengshui, Hebei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx319"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu281"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.11.013"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2017.07.001"},{"key":"c5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.05.078"},{"key":"c6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2014.05.012"},{"key":"c7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2020.06.007"},{"key":"c8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.05.041"},{"key":"c9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2014.12.006"},{"key":"c10","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-018-0712-y"},{"key":"c11","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezy379"},{"key":"c12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2021.06.025"},{"key":"c13","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezv355"},{"key":"c14","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a000913"},{"key":"c15","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2010.256784"},{"key":"c16","doi-asserted-by":"publisher","DOI":"10.23736\/S0021-9509.22.12384-0"},{"key":"c17","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/945035"},{"key":"c18","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000004532"},{"key":"c19","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2013.01.020"},{"key":"c20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.06.203"},{"key":"c21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2021.08.059"},{"key":"c22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.04.015"},{"key":"c23","unstructured":"surv_cutpoint: determine the optimal cutpoint for continuous \t\t\t\t\t\tvariables. 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