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Authors hypothesize that thoracoabdominal aortic repair combined with bare metal stent implantation is superior over standard thoracoabdominal aortic repair.
Main hypothesis of this study is that thoracoabdominal aortic repair combined with bare metal stent implantation is better permanent neurological deficits, perioperative bleeding, malperfusion of viscera over conventional thoracoabdominal aortic repair.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hybrid TAAD repair | Experimental | The group includes patients who underwent open thoracoabdominal aortic repair + abdominal stenting. |
|
| Conventional TAAD repair | Active Comparator | The group includes patients who underwent classic thoracoabdominal aortic repair with dacron prosthesis. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Open thoracoabdominal aortic repair + abdominal stenting | Procedure | Thoracoabdominal aortic dissection (TAAD) repair + bare aortic stent (Djumbodis) implantation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Permanent neurological events | Quantity of permanent neurological events such as stroke and paraplegia by 30th day after procedure. | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Perioperative bleeding | Volume of perioperative and postoperative bleeding in ICU | 5 days after procedure |
| Mortality | Postoperative mortality will be measured during 6 months after procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alexander M. Chernyavskiy, MD PhD | Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology Ministry of Health care of Russian Federation | Study Chair |
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|
| Classic thoracoabdominal aortic repair | Procedure | Thoracoabdominal aortic dissection (TAAD) repair |
|
|
| 6 months |
| Visceral malperfusion | Clinical evidences of visceral malperfusion (acute or achronic abdomen ischemia) during 6 months after procedure (Yes or No) | 6 months |