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Abstract: Introduction and objectives: The Spanish Registry of Acute Aortic Syndrome (RESA) was launched in 2005 to identify the characteristics of acute aortic syndrome (AAS) in Spain. The aim of this study was to analyze the differences in management and mortality in the 3 RESA iterations. Methods: We analyzed data from patients with AAS prospectively included by 24 to 30 tertiary centers during the 3 iterations of the registry: RESA I (2005-2006), RESA-II (2012-2013), and RESA III (2018-2019). Results: AAS was diagnosed in 1902 patients (74% men; age, 60.7±12.5 years): 1329 (69.9%) type A and 573 (30.1%) type B. Comparison of the 3 periods revealed that the use of computed tomography increased as the first diagnostic technique (77.1%, 77.9%, and 84.2%, respectively; P=.001). In type A, surgical management increased (79.6%, 78.7%, and 84.5%; P=.045) and overall mortality decreased (41.2%, 34.5%, and 31.2%; P=.002), due to a reduction in surgical mortality (33.4%, 25.1%, and 23.9%; P=.003). In type B, endovascular treatment increased (22.8%, 32.8%, and 38.7%; P=.006), while medical and surgical treatment decreased. Overall type B mortality also decreased (21.6%, 16.1%, and 12.0%; P=.005) in line with a reduction in mortality with medical (16.8%, 13.8%, and 8.8%, P=.030) and endovascular (27.0%, 18.0%, and 9.2%; P=.009) treatments. Conclusions: The iterations of RESA show a decrease in mortality from type A AAS, coinciding with an increase in surgical treatment and a reduction in surgical mortality. In type B, the use of endovascular treatment was associated with improved survival, allowing better management in patients with complications.
Fuente: Rev Esp Cardiol (Engl Ed) . 2022 Oct;75(10):816-824
Editorial: Doyma
Año de publicación: 2022
Nº de páginas: 9
Tipo de publicación: Artículo de Revista
DOI: 10.1016/j.rec.2022.01.017
ISSN: 0300-8932,1579-2242,1885-5857
Url de la publicación: https://doi.org/10.1016/j.rec.2022.01.017
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EVANGELISTA MASIP, ARTUR
LÓPEZ-SAINZ, ÁNGELA
BARROS MEMBRILLA, ANTONIO JOSÉ
CALVO IGLESIAS, FRANCISCO
LÓPEZ AYERBE, JORDI
AZQUETA MOLLUNA, MANEL
MOSQUERA RODRÍGUEZ, VÍCTOR X
ARREGUI MONTOYA, FRANCISCO
TARRÍO FERNÁNDEZ, RUBÉN
REVILLA ORODEA, ANA
SÁNCHEZ SÁNCHEZ, VIOLETA
CANTERO PÉREZ, EVA MARÍA
FERRERA, CARLOS
TORAL SEPÚLVEDA, DAVID
JUAN FRANCISCO NISTAL HERRERA
FERNÁNDEZ GOLFÍN, COVADONGA
SAO, AUGUSTO
RODRÍGUEZ-PALOMARES, JOSÉ
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