{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T13:07:57Z","timestamp":1793279277118,"version":"4.5.0"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2023,1,3]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">The treatment of chronic type B aortic dissection by thoracic endovascular aortic repair has some challenges, and its long\u2010term outcomes remain unclear. This study aimed to analyze the 5\u2010year clinical outcomes of thoracic endovascular aortic repair of chronic type B aortic dissection, compare the differences between patients with and without adverse aortic events (AAEs), and identify risk factors for AAEs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      Patients who underwent thoracic endovascular aortic repair of chronic type B aortic dissection from January 2009 to June 2017 were retrospectively enrolled. The primary end points were AAEs, including aorta\u2010related death, procedural complications, and disease progression requiring reintervention. Clinical outcomes were described at the 5\u2010year follow\u2010up visit. The secondary end point was the comparison of the results between patients with and without AAEs. Univariable and multivariable logistic analyses were used to identify potential risk factors for AAEs. A total of 214 patients were enrolled. AAEs occurred in 46 (21.5%) patients. Compared with patients without AAEs, those with AAEs had higher rates of residual type A aortic dissection (26.1% versus 4.2%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001) and aortic diameter \u22655.5\u2009cm (69.6% versus 11.3%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001), and a lower rate of complete false lumen thrombosis (23.9% versus 89.9%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001). Meanwhile, the median interval from symptom onset to intervention was longer in patients with AAEs (26\u2009months versus 12\u2009months,\n                      <jats:italic>P<\/jats:italic>\n                      =0.004). Partial or no false lumen thrombosis (adjusted odds ratio [AOR], 14.71 [95% CI, 5.67\u201338.14;\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001]) and aortic diameter \u22655.5\u2009cm (AOR, 10.16 [95% CI, 3.86\u201326.73;\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001]) were identified as independent risk factors for AAEs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">While thoracic endovascular aortic repair of chronic type B aortic dissection might be challenging in some cases, its long\u2010term outcomes appeared promising as this treatment was effective in preventing catastrophic aortic events. Patients with AAEs showed higher rates of residual type A aortic dissection and aortic diameter \u22655.5\u2009cm, a lower rate of complete false lumen thrombosis, and a longer median interval from symptom onset to intervention. Failure of complete false lumen thrombosis and an aortic diameter \u22655.5\u2009cm were predictors of AAEs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.122.026914","type":"journal-article","created":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T08:31:37Z","timestamp":1668587497000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":21,"title":["Long\u2010Term Outcomes of Chronic Type B Aortic Dissection Treated by Thoracic Endovascular Aortic Repair"],"prefix":"10.1161","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7588-4646","authenticated-orcid":false,"given":"Xiaolang","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Institute of Vascular Surgery Zhongshan Hospital, Fudan University Shanghai China"},{"name":"National Clinical Research Center for Interventional Medicine Shanghai 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Shanghai China"},{"name":"National Clinical Research Center for Interventional Medicine Shanghai China"},{"name":"Center for Vascular Surgery and Wound Care Jinshan Hospital, Fudan University Shanghai 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