Table 3. Clinical features of lower limb malperfusion secondary to type B aortic dissection in included studies.
First author | Year | n | Acute TBAD | Chronic TBAD | Rupture | Bilateral presentation | LLM | Acute limb ischemia | Chest pain | Back pain | Abdominal pain | Limb pain | Limb weakness | Limb paresthesia | Limb numbness |
Limb paralysis | Pulse deficit |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Joo (14) | 2000 | 1 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | NS |
Panneton (15) | 2000 | 5 | 3 | 2 | 0 | 4 | 2 | 3 | NS | NS | NS | NS | NS | NS | NS | NS | NS |
Lookstein (16) | 2001 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 0 |
Lauterbach (17) | 2001 | 11 | 11 | 0 | 0 | NS | 0 | 11 | NS | NS | NS | NS | NS | NS | NS | NS | NS |
Liu (18) | 2002 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 1 |
Frahm (19) | 2002 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
Eggebrecht (20) | 2003 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Vedantham (21) | 2003 | 7 | 7 | 0 | 0 | 1 | 0 | 7 | 0 | 0 | 0 | 7 | 0 | 0 | 0 | 0 | 7 |
Fleck (22) | 2004 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | NS | NS | NS | NS | NS | NS | NS | NS | NS |
Lorenzen (23) | 2004 | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
Tan (24) | 2004 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 |
Yamaghchi (25) | 2006 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | NS |
Henke (26) (IRAD data)* | 2006 | 26 | 26 | 0 | NS | NS | 0 | 26 | 13 | 13 | NS | 12 | NS | NS | NS | NS | 17 |
Henke (26) (local series)* | 2006 | 28 | 28 | 0 | 0 | 22 | 0 | 28 | NS | NS | NS | NS | NS | NS | NS | NS | NS |
Nakahira (27) | 2007 | 2 | 0 | 2 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 |
Shiiya (28) | 2007 | 4 | 4 | 0 | 0 | NS | 4 | 0 | NS | NS | NS | NS | NS | NS | NS | NS | NS |
Lakshmanan (29) | 2008 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 1 |
Verhoye (30) | 2008 | 3 | 3 | 0 | 0 | NS | 1 | 2 | NS | NS | NS | NS | NS | NS | NS | NS | NS |
Fujita (31) | 2009 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
Iyer (32) | 2009 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 1 |
Trimarchi (33) | 2010 | 10 | 10 | 0 | 0 | NS | 0 | 10 | NS | NS | NS | NS | NS | NS | NS | 1 | NS |
Umeda (34) | 2011 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 1 |
Vulev (35) | 2011 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 1 |
Sfyroereas (36) | 2011 | 12 | 12 | 0 | NS | NS | 6 | 6 | 10 | 4 | 0 | NS | NS | 1 | NS | 2 | NS |
Lee (37) | 2012 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 10 |
Narita (38) | 2012 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Kuo (39) | 2013 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 |
Ito (40) | 2013 | 3 | 3 | 0 | 0 | 3 | 0 | 3 | NS | NS | NS | NS | NS | NS | NS | NS | NS |
Kim (41) | 2014 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 1 |
Corfield (42) | 2014 | 9 | 9 | 0 | 0 | 1 | 1 | 8 | 7 | 7 | 0 | 0 | 0 | NS | NS | NS | NS |
Overall | – | 138 | 97% (134/ 138) |
3% (4/138) | 1% (1/138) | 56% (40/72) | 13% (18/138) | 87% (120/138) | 42% (31/73) | 45% (33/73) | 13% (6/47) | 41% (25/61) | 14% (5/35) | 18% (7/38) | 19% (5/26) | 13% (6/48) | 100% (40/40) |
*, overlap of 18 patients. LLM, lower limb malperfusion; TBAD, type B aortic dissection; n, number of patients; NS, not specified.