{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T23:23:25Z","timestamp":1777332205047,"version":"3.51.4"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2020,9,7]],"date-time":"2020-09-07T00:00:00Z","timestamp":1599436800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,4]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p\/>\n                  <jats:p>Type A aortic dissection requires immediate surgical repair. Despite improvements in surgery and anaesthesia, there is still a considerable risk when high-risk patients are concerned. Less invasive endovascular treatments are under evaluation. We investigated the current status of catheter-based treatment for type A aortic dissection with the entry tear located in the ascending aorta.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>A PubMed search was supplemented by searching through bibliographies and key articles. Demographics, risk score, stent graft detail, access route, mortality, cause of death, complications, reinterventions and follow-up data were extracted and analysed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Thirty-one articles (7 retrospective reports; 24 case reports\/series) were included in the study. In total, 104 patients (mean age 71\u2009\u00b1\u200914\u2009years) received endovascular treatment for acute (63) or chronic (41) type A dissection. A history of a major cardiac or aortic operation was present in 29 patients. The mean EuroSCORE II was 30\u2009\u00b1\u200920 in 4 reports. A total of 114 stent grafts were implanted: \u2018off-the-shelf\u2019, 65\/114; custom made, 12\/114; and modified, 7\/114. Hospital complications included intraprocedural conversion to open surgery (2\/104), stroke (2\/104), coronary stenting (2\/104), early endoleak (9\/104) and repeat aortic endovascular treatment for endoleak (5\/104). Hospital mortality was 10% (intraoperative death 2\/104). Mean duration of follow-up time was 21\u2009\u00b1\u200921\u2009months (range 1\u201381\u2009months); follow-up data were available for 86 patients: 10 patients died of non-aortic-related causes; reintervention for aortic disease (endovascular repair or open surgery) was performed in 8 patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Catheter-based ascending aorta repair for type A aortic dissection with the entry tear in the ascending aorta can be considered in carefully selected high-risk patients. Further analysis and specifically designed devices are required.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaa238","type":"journal-article","created":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T19:10:31Z","timestamp":1591643431000},"page":"80-91","source":"Crossref","is-referenced-by-count":4,"title":["Catheter-based treatment of the dissected ascending aorta: a systematic review"],"prefix":"10.1093","volume":"59","author":[{"given":"Changtian","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery. Jinling Hospital, Nanjing University, School Medicine, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5400-9340","authenticated-orcid":false,"given":"Ludwig Karl","family":"von Segesser","sequence":"additional","affiliation":[{"name":"Department of Surgery and Anesthesiology, Cardiovascular Research Unit, University Hospital of Lausanne, Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3691-1709","authenticated-orcid":false,"given":"Francesco","family":"Maisano","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Hospital of Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2837-3242","authenticated-orcid":false,"given":"Enrico","family":"Ferrari","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Hospital of Zurich, Zurich, Switzerland"},{"name":"Department of Cardiac Surgery, Cardiocentro Ticino Foundation, Lugano, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,9,7]]},"reference":[{"key":"2021010414503536900_ezaa238-B1","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/j.jacc.2015.05.029","article-title":"Presentation, diagnosis, and outcomes of acute aortic dissection: 17-year trends from the International Registry of Acute Aortic Dissection","volume":"66","author":"Pape","year":"2015","journal-title":"J Am Coll Cardiol"},{"key":"2021010414503536900_ezaa238-B2","first-page":"e201608","article-title":"Insights from the international registry of acute aortic dissection","volume":"2016","author":"Evagelista","year":"2016","journal-title":"Glob Cardial Sci Pract"},{"key":"2021010414503536900_ezaa238-B3","doi-asserted-by":"crossref","first-page":"1846","DOI":"10.1161\/CIRCULATIONAHA.117.031264","article-title":"Insights from the international registry of acute aortic dissection: 20-year experience of collaborative clinical research","volume":"137","author":"Evangelista","year":"2018","journal-title":"Circulation"},{"key":"2021010414503536900_ezaa238-B4","doi-asserted-by":"crossref","first-page":"1439","DOI":"10.1111\/jocs.14196","article-title":"Type A aortic dissection in patients over the age of seventy in the UK","volume":"34","author":"Bashir","year":"2019","journal-title":"J Card Surg"},{"key":"2021010414503536900_ezaa238-B5","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1093\/ejcts\/ezx308","article-title":"Endovascular treatment of non-dissected ascending aorta disease: a systematic review","volume":"53","author":"Wang","year":"2018","journal-title":"Eur J Cardiothorac Surg"},{"key":"2021010414503536900_ezaa238-B6","doi-asserted-by":"crossref","first-page":"1944","DOI":"10.1016\/j.jacc.2016.08.031","article-title":"Outcomes of endovascular repair of ascending aortic dissection in patients unsuitable for direct surgical repair","volume":"68","author":"Li","year":"2016","journal-title":"J Am Coll Cardiol"},{"key":"2021010414503536900_ezaa238-B7","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1093\/eurheartj\/ehu281","article-title":"2014 ESC guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. 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