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. Author manuscript; available in PMC: 2010 Oct 19.
Published in final edited form as: Semin Thorac Cardiovasc Surg. 2009 Winter;21(4):373–386. doi: 10.1053/j.semtcvs.2009.11.008

Table 3.

The evolution of endovascular management for acute complicated Type III aortic dissection

Author Publication
Year
Sample
Size
Study
Length
Follow up All cause mortality Findings / Conclusions Stent Type
Slonim42 1996 11 1992–1995 Mean: 10.1 months (2 weeks-39
months)
9.1% Technique included fenestration and
stent placement, 2 of 5 fenestration
patients required re-intervention
Palmaz®1
Dake43 1999 22 1996–1998 Mean: 13 months 16% (30D) False lumen thrombosis 79%; Re-
vascularization in 76%
Custom
Nienaber44 1999 12 1997–1998 12 months 0.0% Technical success in 100%; no
endoleak; no morbidity
Talent™2
Tiesenhausen45 2001 4 1998 Mean: 11.5 months (2–34
months)
0.0% False lumen thrombosis 100%; Distal
aneurysm in 1 patient
Talent™2
Lopera46 2003 10 1999–2001 Mean: 20 months (7–30 months) 10.0% Technical failure, stroke, deep vein
thrombosis in 1 patient each; False
lumen thrombosis 60%; Distal
aneurysm in 20%
Custom
Vedantham77 2003 11 1998–2002 Mean: 16 months 0.0% Preferred to open surgery in
complicated Type B aortic dissection
Wallstent®3
Duebener78 2004 10 2000–2003 Mean: 25 months (1–38 months) 20% (30D) Early mortality reduced by
emergency endovascular stent
grafting (No morality in follow-up
period)
Talent™2
Dialetto47 2005 28 1999–2004 Mean: 18.1 months (1–61
months)
10.7% Endoleak in 1 patient; False lumen
thrombosis 75%; Distal aneurysm
3.5%
Talent™2, Gore EXCLUDER®4
Resch48 2006 115 1994–2005 Median: 14 months (1–79
months)
9.3% (30D) False lumen thrombosis in 80%;
Distal aneurysm in 16%
Talent™2, Gore EXCLUDER®4
Gore TAG®4, Zenith®5
Endofit™6
Chemelli-Steingruber79 2008 38 1996–2008 Mean: 33 months 23.7% Secondary interventions in 2
patients; Conversion open in 3
patients; Endoleak in 9 patients
Talent™2, Gore EXCLUDER®4
Gore TAG®4
Pearce80 2008 15 2005–2007 Mean: 5.8 months (0–12 months) 13.3% (30D), 20% TEVAR has high technical success,
excellent results at resolving
malperfusion, acceptably low
complications
Gore TAG®4
Szeto49 2008 35 2004–2007 Mean: 13 months (3–47 months) 2.8% Technical success 97.1%; 93.4% (1-
year survival)
Talent™2, Gore TAG®4
Zenith ELSE®5
Verhoye50 2008 16 1996–2004 12 months 25% (30D) Distal aorta dilation 1 patient;
Freedom from treatment failure at 5
years 67%
Custom, Gore EXCLUDER®4
Gore TAG®4
Feezor81 2009 33 2005–2007 Mean: 5.5 months 21% (30D) 1 major complication in 76%
patients, mean follow-up 61% alive
and 45% living at home
Gore TAG®4
Albors82 2009 25 2003–2008 Mean: 30 months (7–53 months) 8% (30D) Type 1 Endoleak in 16%; paraparesis
in 4%
Talent™2, Gore TAG®4
Zenith TX1®5, Zenith TX2®5
Khoynezhad28 2009 28 1999–2007 Mean: 36 months (1–88 months) 10.7% 82% (1-year survival); 78% (5 year
survival); complete thrombosis 85%;
treatment failure 18%
Talent™2, Gore TAG®4
Manning51 2009 52 2001–2008 Mean: 31 months 11.0% 1 patient with persistent false lumen
perfusion, only Type IIIb needed re-
intervention
Talent™2, Gore TAG®4
Zenith®5, Endofit™6, Relay™7
Patel56 2009 69 1997–2008 Mean: 41.9 months 17.4% (30D), 30% Freedom from aortic rupture or open
repair at 1, 5, and 8 years was 80.2%,
67.7%, and 54.2%
Wallstent®3
Park83 2009 17 1996–2007 Mean: 731 days (3–2719 days) 8.3% (30D) Malperfusion improved in 90%;
Annual growth rate 3.64mm/year
thoracic aorta, 2.64mm/year celiac
axis, 1.42mm/year infrarenal aorta
Niti-S™8, Wallstent®3
Smart® Stent9
1

Cordis Corporation, Johnson & Johnson Inc., Warren, NJ

2

World Medical, Medtronic Vascular Inc., Sunrise, FL

3

Boston Scientific Corp., Natick, MA

4

Thoracic Endoprosthesis, W.L. Gore & Associates, Sunnyvale, CA

5

Cook Inc,. Bloomington, IN

6

Endomed Inc., London, United Kingdom

7

Bolton Medical Inc., Sunrise, FL

8

Taewoong Medical Co. Ltd., Seoul, Korea

9

Cordis Corp., Miami Lakes, FL