TY - JOUR AU - Williams, Michael L. AU - Boer, Madeleine de AU - Hwang, Bridget AU - Wilson, Bruce AU - Brookes, John AU - McNamara, Nicholas AU - Tian, David H. AU - Shiraev, Timothy AU - Preventza, Ourania PY - 2021 TI - Thoracic endovascular repair of chronic type B aortic dissection: a systematic review JF - Annals of Cardiothoracic Surgery; Vol 11, No 1 (January 24, 2022): Thoracic Aortic Endovascular Solutions II Y2 - 2021 KW - N2 - Background: At present, the optimal management strategy for chronic type B aortic dissection (CTBAD) remains unknown, as equipoise remains regarding medical management versus endovascular treatment versus open surgery. However, the results over recent years of thoracic endovascular aortic repair (TEVAR) in CTBAD appear promising. The aim of this systematic review was to provide a comprehensive analysis of the available data reporting outcomes and survival rates for TEVAR in CTBAD. Methods: Electronic searches of six databases were performed from inception to April 2021. All studies reporting outcomes, specifically 30-day mortality rates, for endovascular repair of CTBAD were identified. Relevant data were extracted, and a random-effects meta-analysis of proportions or means was performed to aggregate the data. Survival data were pooled using data derived from original Kaplan-Meier curves, which allows reconstruction of individual patient data. Results: Forty-eight studies with 2,641 patients were identified. Early ( UR - https://www.annalscts.com/article/view/16877