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Related Experiment Video

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Novel and Innovative Hybrid Technique for Type A Aortic Dissection

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Factors Affecting False Lumen Thrombosis In Type B Aortic Dissection.

Qian-Hui Tang¹, Jing Chen¹, Han Yang¹

¹Department of Vascular and Endovascular Surgery - The First Affiliated Hospital of Guangxi Medical University, Guangxi - China.

Arquivos Brasileiros De Cardiologia

|August 2, 2023

Summary

Older age and renal insufficiency are linked to false lumen thrombosis in patients with type B aortic dissection (TBAD). Larger true lumen diameter also predicts thrombosis, potentially influencing aortic remodeling.

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Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery

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Published on: November 28, 2018

Area of Science:

Cardiovascular Research
Vascular Surgery
Medical Imaging

Background:

Complete thrombosis of the false lumen is crucial for favorable remodeling in type B aortic dissection (TBAD).
Morphological characteristics of the aorta significantly influence the process of false lumen thrombosis.

Purpose of the Study:

To identify pre-admission factors influencing false lumen thrombosis in patients diagnosed with TBAD.
To elucidate the relationship between clinical data, aortic dimensions, and thrombosis in TBAD.

Main Methods:

Retrospective analysis of 282 patients with TBAD.
Classification into thrombotic and non-thrombotic groups based on false lumen thrombus presence.
Comparison of clinical data, dissection length, and aortic diameters between groups.

Main Results:

The thrombotic group showed significantly older age (p=0.009) and lower incidence of renal insufficiency (p=0.026).
True lumen diameter was significantly larger in the thrombotic group in zones 3-9 (p<0.05).
Independent predictors for false lumen thrombosis included true lumen diameter in zone 5 and renal insufficiency.

Conclusions:

Age and renal function are associated with false lumen thrombosis in TBAD.
The disparity between true and false lumen diameters may play a role in promoting thrombosis.