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Optimal Timing of Pre-emptive Thoracic Endovascular Aortic Repair in Uncomplicated Type B Aortic Dissection: A Network Meta-Analysis.

Noritsugu NaitoHisato Takagi
Published in: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (2024)
The optimal timing of pre-emptive thoracic endovascular aortic repair (TEVAR) for uncomplicated type B aortic dissection remains uncertain. This network meta-analysis suggests that the subacute phase (14-90 days from symptom onset) emerges as the optimal timing for pre-emptive TEVAR. This window is associated with lower rates of short-term complications and higher long-term survival rates compared with alternative strategies.
Keyphrases
  • aortic dissection
  • systematic review
  • spinal cord
  • urinary tract infection
  • meta analyses
  • randomized controlled trial
  • spinal cord injury