Contemporary endovascular treatment of type B aortic dissection in China.
OBJECTIVE
Endovascular stent-grafts have been used in China to treat type B aortic dissection since 1999, and there is a plethora of cohort studies in the contemporary literature. The aim of this review was to analyse the published results of endovascular treatment for type B aortic dissection in China.


METHOD
A systematic literature review of all published literature from January 1999 to October 2014 on endovascular treatment of type B aortic dissection in China was undertaken using PubMed, Medline, and the Chinese National Knowledge Infrastructure databases.


RESULTS
Seventy papers were retrieved (4 English, 66 Chinese) with a total of 4208 patients; 3396 (80.7%) were male, and the mean age ranged from 43 to 65 years. Procedural success was reported in 99.4% ± 1.7%. Complications were reported in 14.6% ± 11.1%, with major complications in 1.7% ± 2.9%, and the most devastating neurologic complications in 1.1% ± 2.2% (stroke 0.9% ± 2.4%, paraplegia 1.5% ± 0.7%). Postoperative endoleak occurred in 8.1% ± 7.6%. The 30-day postoperative mortality was 2.4% ± 3.3%. During follow-up, false-lumen thrombosis occurred in 92.1% ± 11.7%. Reintervention was performed in 1.3% ± 3.3%. The incidence of proximal and distal stent-graft-induced new entry was 0.5% ± 1.3% and 0.9% ± 2.7%, respectively, with endoleak in 2.7% ± 4.4% and mortality of 2.2% ± 3.2%.


CONCLUSIONS
Current evidence suggests that use of endovascular stent-grafts for type B aortic dissection in China is feasible and safe with low rates of perioperative complications and short-term mortality. However, a standardised reporting system and long-term follow-up data are lacking.
['Li|Hailei|H|', 'Chan|Yiu-Che|YC|', 'Cheng|Stephen W|SW|']
D000208:Acute Disease D000328:Adult D000368:Aged D000784:Aneurysm, Dissecting D001014:Aortic Aneurysm D001807:Blood Vessel Prosthesis D019917:Blood Vessel Prosthesis Implantation D002681:China D002908:Chronic Disease D057510:Endovascular Procedures D005260:Female D006801:Humans D008297:Male D008875:Middle Aged D011183:Postoperative Complications D011474:Prosthesis Design D019233:Retreatment D012307:Risk Factors D015607:Stents D013997:Time Factors D016896:Treatment Outcome
dissecting China Endoleak Aneurysm Aortic aneurysm Blood vessel prosthesis implantation Stents