From: Surgical treatment of type A acute aortic dissection with cerebral malperfusion: a systematic review
Author | Article types | Year | N of patients | Incidence (%) | Age (years) | Sex (F) | In-hospital mortality (%) | Causes of death | Follow-up (mo) |
---|---|---|---|---|---|---|---|---|---|
Okita et al. [12] | RS | 2021 | 50 | 13.1 | 68.1 ± 9.2 | NA | 14 (28%) | Stroke 8 | 5-year survival (75.2 ± 12.5%) 10-year survival (60.5 ± 23.4%) |
Sugiyama et al. [13] | RS | 2021 | 19 | 21 | 69 (39–84) | 2 | 2 (10.5%) | Extensive cerebral infarction | NA |
Gomibuchi et al. [14] | RS | 2021 | 42 | 21.3 | 64.9 ± 11.1 | 22 | 2 (4.8%) | NA | NA |
Sasaki et al. [8] | RS | 2020 | 9 | 7.1 | 66.2 ± 12.9 | 8 | 0 | 0 | 24 (all survival) |
Shimura et al. [15] | RS | 2020 | 16 | 7.7 | 63 (32–83) | 8 | 1 (6.3%) | Severe cerebral edema | 101 ± 7 |
Luehr et al. [16] | RS | 2016 | 23 | 6.5 | 66.3 (55.2–69.9) | 5 | 3 (13.0%) | Cerebral haemorrhag 2, MOF 1 | 15.2 (4.8–34.1) |
Di Eusanio et al. [3] | RS | 2013 | 99 | 7.5 | 63.1 ± 13.7 62.8 ± 12.2 | NA | 33 (33.3%) | NA | Median 36 5-year survival: 67.1% (CVA), 57.1% (coma) |
Morimoto et al. [5] | RS | 2011 | 41 | 26.1 | 67.3 ± 10.0, 69.7 ± 11.5 | 16 | 6 (14.6%) | Large hemispheric infarction | 57.6 (1.2–136.8) 5-year survival 65% ± 8% 10-year survival 59% ± 9% |
Nakamura [17] | RS | 2011 | 10 | 22.4 | 69 ± 9 (57–84) | 5 | 0 | 0 | 18 ± 5 |
Tsukube et al. [18] | RS | 2011 | 24 | 14.9 | 71.9 (44–91) | 18 | 4 (16.7%) | Aortic rupture 1, AMI 1, massive brain edema 2 | 34.5 ± 25.1 3 years cumulative survival rate 71.8% |
Estrera et al. [9] | RS | 2006 | 14 | 19 | 56 (43–73) | 6 | 1 (7%) | Small bowel necrosis | 18.5 1-year survival 81.3% 5-year survival 58.0% |
Tanaka et al. [19] | RS | 2005 | 16 | 25.3 | 71.6 ± 7.7 | 10 | 7 (43.7%) | Severe brain damage | 25.2 ± 21 (2–56) 4-year survival 50.1% |
Total | RS | 2005–2021 | 363 (15.5%) | 15.9 | 65.7 ± 13 (32–91) | 100 | 73 (20.1%) | Neurological damage (n = 28), MOF (n = 1), aortic rupture (n = 1), AMI (n = 1), small bowel necrosis (n = 1) | 40.1 ± 37.6 5 years survival 65.3 ± 11% |