Table 4. Extent of dissection, clinical malperfusion, radiological involvement and treatment approach in included studies.
| First author | Year | n | Proximal origin of TBAD | Distal end of TBAD | Clinical malperfusion |
Radiological involvement |
Treatment |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LLM + renal | LLM + visceral | Isolated LLM | Renal | CT | SMA | Medical | Surgical | Endovascular | |||||||
| Joo (14) | 2000 | 1 | Descending arch | Just proximal to renal arteries | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | ||
| Panneton (15) | 2000 | 5 | – | – | 3 | 1 | 2 | NS | NS | NS | 0 | 5 | 0 | ||
| Lookstein (16) | 2001 | 1 | NS | NS | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 1 | ||
| Lauterbach (17) | 2001 | 11 | – | – | 5 | 3 | 5 | 5 | 4^ | 4^ | 3 | 6 | 2 | ||
| Liu (18) | 2002 | 1 | Distal arch | Abdominal aorta | 0 | 0 | 1 | 0 | 0 | 0 | 1§ | 0 | 0 | ||
| Frahm (19) | 2002 | 1 | NS | Right common and external iliac artery | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | ||
| Eggebrecht (20) | 2003 | 1 | Thoracic aorta | Iliac arteries | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Vedantham (21) | 2003 | 7 | – | – | 4 | 4 | 2 | 5 | 4^ | 4^ | 0 | 0 | 7 | ||
| Fleck (22) | 2004 | 1 | Left subclavian artery | Iliac arteries | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | ||
| Lorenzen (23) | 2004 | 1 | Just distal to left subclavian artery | NS | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Tan (24) | 2004 | 1 | NS | Abdominal infrarenal aorta | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Yamaghchi (25) | 2006 | 1 | Proximal descending aorta | Right common iliac artery | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Henke (26) (IRAD data)* | 2006 | 26 | – | – | NS | NS | NS | NS | NS | NS | 13 | 5 | 8 | ||
| Henke (26) (local series)* | 2006 | 28 | – | – | NS | NS | NS | 22 | 15 | 15 | 2 | 2 endovascular + fem-fem BP | 24 | ||
| Nakahira (27) | 2007 | 2 | NS | NS, right common iliac artery | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 2 | 0 | ||
| Shiiya (28) | 2007 | 4 | – | – | 1 | 0 | 3 | 1 | 0 | 0 | 2 | 2 | 0 | ||
| Lakshmanan (29) | 2008 | 1 | Aortic arch | Infrarenal aorta | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | ||
| Verhoye (30) | 2008 | 3 | – | – | 1 | 1 | 1 | 2 | 0 | 2 | 0 | 0 | 3 | ||
| LLM + renal | LLM + visceral | Isolated LLM | Renal | CT | SMA | Medical | Surgical | Endovascular | |||||||
| Fujita (31) | 2009 | 1 | Descending aorta | Right common iliac and left internal iliac arteries | 0 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | ||
| Iyer (32) | 2009 | 1 | Just distal to left subclavian artery | Upper half of aortic stentgraft | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | ||
| Trimarchi (33) | 2010 | 10 | – | – | 7 | 4 | 5 | NS | NS | NS | 0 | 10 | 0 | ||
| Umeda (34) | 2011 | 1 | Proximal descending aorta | Proximal anastomosis site of AAA repair | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | ||
| Vulev (35) | 2011 | 1 | Intimal flap at distal end of implanted endograft | NS | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Sfyroereas (36) | 2011 | 12 | – | – | 6 | 1 | 6 | 6 | 1 | 1 | 0 | 2 aortic stentgraft + fem-fem BP | 10 | ||
| Lee (37) | 2012 | 1 | NS | NS | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | ||
| Narita (38) | 2012 | 1 | Distal aortic arch | Bilateral external iliac arteries | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Kuo (39) | 2013 | 1 | Aortic arch | Bilateral iliac arteries | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | ||
| Ito (40) | 2013 | 3 | – | – | 2? | 2 | 1 | 0 | 0 | 0 | 0 | 3 (1 TEVAR + ax-bif BP) | 0 | ||
| Kim (41) | 2014 | 1 | Distal aortic arch | External iliac artery | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | ||
| Corfield (42) | 2014 | 9 | – | – | 3 | 1 | 5 | NS | NS | NS | 0 | 8 (2 TEVAR + fem-fem BP) | 1 | ||
| Overall | – | 138 | 35/84 (40%) | 21/84 (25%) | 44/84 (52%) | 47/88 (53%) | 27/88 (31%) | 30/88 (34%) | 22/138 (16%) | 51/138 (37%) | 65/138 (47%) | ||||
*, overlap of 18 patients; ^, not specified if SMA or CT involvement; §, previous surgical embolectomy for misdiagnosis; ?, unclear association with dissection. LLM, lower limb malperfusion; TBAD, type B aortic dissection; CT, celiac trunk; SMA, superior mesenteric artery; fem-fem BP, femoral-femoral bypass; AAA, abdominal aortic aneurysm; TEVAR, thoracic endovascular aortic repair; n, number of patients.