Data set from Marrocco-Trischitta MM, Rylski B, Schofer F, Secchi F, Piffaretti G, de Beaufort H, Belvroy V, Bismuth J, Czerny M, Trimarchi S. Prevalence of type III arch configuration in patients with type B aortic dissection. Eur J Cardiothorac Surg. 2019 Dec 1;56(6):1075-1080. doi: 10.1093/ejcts/ezz137. Erratum in: Eur J Cardiothorac Surg. 2019 Dec 1;56(6):1208. PMID: 31038681.
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Data set from Marrocco-Trischitta MM, Rylski B, Schofer F, Secchi F, Piffaretti G, de Beaufort H, Belvroy V, Bismuth J, Czerny M, Trimarchi S. Prevalence of type III arch configuration in patients with type B aortic dissection. Eur J Cardiothorac Surg. 2019 Dec 1;56(6):1075-1080. doi: 10.1093/ejcts/ezz137. Erratum in: Eur J Cardiothorac Surg. 2019 Dec 1;56(6):1208. PMID: 31038681. The abstract: <strong>Objectives: </strong>Type III aortic arch configuration consistently presents anatomical and biomechanical characteristics which have been associated with an increased risk of type B aortic dissection (TBD). Our aim was to investigate the prevalence of type III arch in patients with TBD and type B intramural haematoma (IMH-B). <strong>Methods: </strong>A multicentre retrospective analysis was performed on patients with TBD and IMH-B observed between 2002 and 2017. The computed tomographic images were reviewed to identify the type of aortic arch. Exclusion criteria included previous arch surgery, presence of aortic dissection or aneurysm proximal to the left subclavian artery and bovine arches. An ad hoc systematic literature review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines to assess the prevalence of type III arch in non-TBD and non-aneurysmal patients. <strong>Results: </strong>Two hundred and sixty-one patients with TBD/IMH-B were found to be suitable for the study and were stratified according to aortic arch classification. The ad hoc literature search provided 10 relevant articles, from which a total of 7983 control cases were retrieved. TBD/IMH-B patients were significantly younger than controls [64.3, standard error: 0.74 (62.84-65.76) vs mean pooled age 70.5, standard error: 0.40 (69.71-71.28)]. Patients with TBD/IMH-B presented with a significantly higher prevalence of type III arch [41.0% (107/261) (35.2-47.1)] than controls [16% (1241/7983) (10-22)]. <strong>Conclusions: </strong>Our data indicate an association between type III arch configuration and the occurrence of TBD/IMH-B. These findings warrant further studies to disclose the potential role of type III arch configuration as an anatomical risk factor for TBD/IMH-B.
本数据集来自Marrocco-Trischitta MM、Rylski B、Schofer F、Secchi F、Piffaretti G、de Beaufort H、Belvroy V、Bismuth J、Czerny M、Trimarchi S的研究。其原始文献信息如下:Marrocco-Trischitta MM等. B型主动脉夹层患者中III型主动脉弓构型的患病率[J]. 《欧洲心胸外科杂志》(Eur J Cardiothorac Surg), 2019, 56(6):1075-1080. DOI: 10.1093/ejcts/ezz137。勘误信息见:《欧洲心胸外科杂志》(Eur J Cardiothorac Surg). 2019 Dec 1;56(6):1208。PMID: 31038681。 以下为该研究的摘要: **研究目标**:III型主动脉弓("type III aortic arch configuration")具有明确的解剖学与生物力学特征,该特征与B型主动脉夹层("type B aortic dissection, TBD")的发病风险升高相关。本研究旨在探究B型主动脉夹层及B型壁内血肿("type B intramural haematoma, IMH-B")患者中III型主动脉弓的患病率。 **研究方法**:本研究为多中心回顾性分析,纳入2002年至2017年间确诊为TBD或IMH-B的患者。通过回顾计算机断层扫描("computed tomographic, CT")影像以明确主动脉弓分型。排除标准包括既往主动脉弓手术史、左锁骨下动脉近端存在主动脉夹层或动脉瘤、以及牛型主动脉弓。此外,本研究依据系统评价与Meta分析首选报告条目("Preferred Reporting Items for Systematic Reviews and Meta-analyses, PRISMA")指南开展专项系统文献综述,以评估非TBD、非动脉瘤患者的III型主动脉弓患病率。 **研究结果**:本研究共纳入261例符合入组标准的TBD/IMH-B患者,并依据主动脉弓分型进行分层。专项文献检索共纳入10篇相关文献,累计提取7983例对照病例。TBD/IMH-B患者的平均年龄显著低于对照组[64.3岁,标准误:0.74,95%置信区间(62.84~65.76) vs 对照组合并平均年龄70.5岁,标准误:0.40,95%置信区间(69.71~71.28)]。TBD/IMH-B患者的III型主动脉弓患病率显著高于对照组[41.0%(107/261),95%置信区间(35.2%~47.1%) vs 对照组16%(1241/7983),95%置信区间(10%~22%)]。 **研究结论**:本研究数据表明,III型主动脉弓构型与TBD/IMH-B的发生存在显著关联。上述研究结果提示,需开展进一步研究以明确III型主动脉弓构型作为TBD/IMH-B解剖学危险因素的潜在作用。



