Opening book details…
Can I read Management of acute type A intramural hematoma: upfront surgery or individualized approach? A retrospective analysis and meta-analysis on EtoBox?
Management of acute type A intramural hematoma: upfront surgery or individualized approach? A retrospective analysis and meta-analysis by Simon C. Y. Chow; Randolph H. L. Wong; Ishan Lakhani; Michelle V. Wong; Gary Tse; Peter S. Y. Yu; Jacky Y. K. Ho; Takuya Fujikawa; Malcolm J. Underwood is a Medicine article available to read on EtoBox.
What is Management of acute type A intramural hematoma: upfront surgery or individualized approach? A retrospective analysis and meta-analysis about?
## Background Management of acute type A intramural hematoma (IMH) is a controversial topic. In our study, we aim to analyze the survival outcomes in local patients with acute type A IMH and a meta-analysis on survival in type A IMH treated medically versus surgically was performed. ## Methods From 2014 to 2019, 65 patients with acute type A IMH were selected for analysis. Primary outcome of interest was 1 year all cause survival. The rate of aortic-related events in the medical group was evaluated. PubMed and Embase were searched for meta-analysis. ## Results The mean age of our cohort was 61.7±9.7 years. Of the 65 patients, 40% had emergency operation. Overall 1-year survival was 96.9%. The 1-year survival was 94.9% for the medical group. 46.2% of the medical group required aortic intervention at a mean duration of 191±168 days. Maximal aortic diameter (MAD) ≥45 mm was predictive of aortic-related events in the medical group (OR: 7.0; 95% CI, 1.7–29.4; P=0.008). For the meta-analysis, 21 studies were identified, and 900 patients were included. Emergent surgery was associated with improved survival in type A IMH (OR: 0.76; 95% CI, 0.29–1.97, P=0.58; I^2^=27%). ## Conclusions The 1
Who reads Management of acute type A intramural hematoma: upfront surgery or individualized approach? A retrospective analysis and meta-analysis?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Simon C. Y. Chow; Randolph H. L. Wong; Ishan Lakhani; Michelle V. Wong; Gary Tse; Peter S. Y. Yu; Jacky Y. K. Ho; Takuya Fujikawa; Malcolm J. Underwood
- Publisher
- AME Publishing Company; Hong Kong: Pioneer Bioscience Publishing Company (ISSN 2072-1439)
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)