Endovascular versus medical management of Type B intramural hematoma: a multicenter retrospective cohort study with propensity score matching

Our study demonstrated that TEVAR was associated with improved survival outcomes compared to MM, including in patients with severe anatomical features. An exploratory analysis suggests that avoiding TEVAR within the hyperacute phase (≤48 hours) might improve outcomes in specific high-risk groups. These findings require confirmation through prospective randomized controlled trials before they can inform definitive clinical practice.

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Publication Details

Journal
International Journal of Surgery
Published
2025-12-22
DOI
https://doi.org/10.1097/js9.0000000000004560
Primary Topic
Aortic Disease and Treatment Approaches
Type
article
Field-Weighted Citation Impact
0.00
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article

Endovascular versus medical management of Type B intramural hematoma: a multicenter retrospective cohort study with propensity score matching

Shai Chen, Weimin Zhou, Wenpeng Zhao, D. G. Li et al.
International Journal of Surgery
Aortic Disease and Treatment Approaches
article

Endovascular versus medical management of Type B intramural hematoma: a multicenter retrospective cohort study with propensity score matching

Shai Chen, Weimin Zhou, Wenpeng Zhao, D. G. Li, K. Chen, Bin Zhong, Jingzheng Huang, Xiong Zeng, Yiliang Hu
article en

Abstract

Our study demonstrated that TEVAR was associated with improved survival outcomes compared to MM, including in patients with severe anatomical features. An exploratory analysis suggests that avoiding TEVAR within the hyperacute phase (≤48 hours) might improve outcomes in specific high-risk groups. These findings require confirmation through prospective randomized controlled trials before they can inform definitive clinical practice.

International Journal of Surgery
Nanchang University (CN), Anhui Medical University (CN), First People's Hospital of Yunnan Province (CN), First Affiliated Hospital of Jiangxi Medical College (CN), Ganzhou People's Hospital (CN), Second Affiliated Hospital of Nanchang University (CN), Nanjing Drum Tower Hospital (CN), First Affiliated Hospital of Anhui Medical University (CN), First Affiliated Hospital of Nanchang University (CN)
Good health and well-being
Openalex Percentile: Top 29%
Aortic Disease and Treatment Approaches
DOIOpen Access PDFOpenAlex
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