The Annals of thoracic surgery
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Review Meta Analysis Comparative Study
Endovascular Versus Open Repair for Chronic Type B Dissection Treatment: A Meta-Analysis.
The respective place of endovascular repair (ER) versus open surgery (OS) in thoracic dissecting aneurysm treatment remains debatable. This comprehensive review seeks to compare the outcomes of ER versus OS in chronic type B aortic dissection treatment. ⋯ Endovascular repair is associated with significant early benefits, but this is not sustained at midterm. Reintervention is more frequent, but the OS is not exempt from reintervention or late rupture. Both techniques have their place, but patient selection is key.