87 research outputs found
PREDICTORS OF IN-HOSPITAL SURVIVAL WITH MEDICAL MANAGEMENT FOR TYPE A ACUTE AORTIC DISSECTION: IMPLICATIONS FOR SUBOPTIMAL SURGICAL CANDIDATES
NUANCES IN THE CLINICAL PRESENTATION OF ACUTE TYPE A AORTIC DISSECTION: AGE, GENDER, RACE, AND PRIOR CARDIAC SURGERY
ONSET OF IN-HOSPITAL COMPLICATIONS IN ACUTE TYPE B AORTIC DISSECTIONS INITIALLY UNCOMPLICATED
Edwin Graves Wilson and Arnold Palmer in a group
Color photograph of Edwin Graves Wilson, Thomas K. Hearn, and others who are University personnel and possibly members of the University Board of Trustees, standing at the foot of the stairs on the Quad side of Reynolda Hall. People pictured include alumnus and trustee Murray Greason, Jr., professor Debbie Best, and alumnus Arnold Palmer. Signed by Arnold Palmer with the message "To Ed, best wishes.
Shock complicating type A acute aortic dissection: clinical correlates, management, and outcomes
Aims Shock is among the most dreaded and common complications of type A acute aortic dissection (TAAAD). However, clinical correlates, management, and short- and long-term outcomes of TAAAD patients presenting with shock in real-world clinical practice are not known. Methods and Results We evaluated 2,704 patients with TAAAD enrolled in the International Registry of Acute Aortic Dissection between January 1, 1996, and August 18, 2012. On admission, 407 (15.1%) TAAAD patients presented with shock. Most in-hospital complications (coma, myocardial or mesenteric ischemia or infarction, and cardiac tamponade) were more frequent in shock patients. In-hospital mortality was significantly higher in TAAAD patients with than without shock (30.2% vs 23.9%, P =.007), regardless of surgical or medical treatment. Most shock patients underwent surgical repair, with medically managed patients demonstrating older age and more complications at presentation. Estimates using Kaplan-Meier survival analysis indicated that most (89%) TAAAD patients with shock discharged alive from the hospital survived 5 years, a rate similar to that of TAAAD patients without shock (82%, P =.609). Conclusions Shock occurred in 1 of 7 TAAAD patients and was associated with higher rates of in-hospital adverse events and mortality. However, TAAAD survivors with or without shock showed similar long-term mortality. Successful early and aggressive management of shock in TAAAD patients has the potential for improving long-term survival in this patient population
Management and Outcomes of Acute Type B Dissection in IRAD Treated with Open Surgery, Endovascular Flap Fenestration or TEVAR
Trends in the Presentation, Diagnosis and Outcomes of Acute Aortic Dissection Over 15 Years, From the International Registry of Acute Aortic Dissection (IRAD)
Characterization of charge accumulation and detrapping processes related to latent failure in CMOS integrated circuits
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