Aortic Diseases Clinical Trial
Official title:
INvestigation of STEnt Grafts in Patients With Type B Aortic Dissection
The objective of this study is to compare treatment with an endograft prothesis versus antihypertensive treatment in patients with a dissection of the thoracic aorta.
Patients older than 18 years with type B aortic dissection as diagnosed by computed
tomography or magnetic resonance angiography are randomized to either a thoracic aortic
endoprosthesis and antihypertensive treatment, called "stent grafting," or a tailored
antihypertensive treatment, called "medical treatment."
Only patients in a clinically stable condition and without spontaneous thrombosis of the
false lumen after 14 days of the index dissection are considered eligible for study
inclusion.
Primary outcome measure is all-cause mortality. Secondary outcome variables include
conversion to stent and/or surgery, induced thrombosis of the false lumen, cardiovascular
morbidity, aortic expansion (>5 mm/y of maximum diameter including true and false lumina),
quality of life, and length of intensive care unit and hospital stay. The study design calls
for 136 patients to be randomized and monitored for 24 months.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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