Quality of life: modified triple-branched stent graft implantation
versus frozen elephant trunk technique
Abstract
Background: To compare the effects of modified triple-branched stent
implantation and frozen elephant trunk technique on the quality of life
(QoL) of acute Stanford Type A aortic dissection (AAAD) patients at
different follow-up times. Methods: Data from 175 AAAD survivors was
collected which were divided into two groups according to different
surgical techniques: (group A): modified triple-branched stent graft
implantation; (group B): frozen elephant trunk. The SF-36 were used to
assess the QoL at discharge(AD), the third postoperative month (POM3),
and the twelfth postoperative month (POM12). Results: (1)The total
scores at each time of both groups showed lower than the normal level;
Group A scored higher than group B at some time points in terms of some
items, and some items at POM3 and POM12 scored higher than at
discharge. Older patients underwent modified triple-branched stent graft
implantation. (2) There were less patients with heavy self-perceived
burden in group A than group B and patients with heavy self-perceived
burden decreased over time. (3) Young postoperative AAD patients in
group B with heavy self-perceived burden, acute renal failure, long LOS
and blood loss(> 1000 mL / 24h)seemed to get a worse QoL.
Conclusions: The impact on QoL of the modified triple-branched stent
graft implantation technique seemed to be better than those of frozen
elephant trunk surgery in some items.