Open surgery versus branched endovascular repair of the aortic arch in residual dissections after type A surgical repair

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This study compares outcomes of open arch repair and a-BEVAR for residual dissection after type A aortic dissection surgery.
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A total of 183 patients were included, with 89 undergoing open arch repair and 94 receiving a-BEVAR.
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After propensity score matching, 30-day mortality was 3.5% for open arch repair and 5.3% for a-BEVAR, with no significant difference.
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Open arch repair had higher rates of complications, including prolonged intubation and acute kidney injury, compared to a-BEVAR.
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The median hospital stay was significantly longer for open arch repair at 21 days versus 10 days for a-BEVAR.

Bjs (British Journal Of Surgery)

by Giovanni Tinelli, Simona Sica, Nikolaos Tsilimparis, Maximilian Pichlmaier, Eugenio Neri, Aurélien Hostalrich, Tilo Kölbel, Jonathan Sobocinski, Marco Di Eusanio, Emanuele Gatta, Andres Schanzer, Guillaume Guimbretière, Diana Giannarelli, Ming Hao Guo, Yamume Tshomba, Massimo Massetti, Stéphan Haulon, International multicenter post-Dissection Arch Repair Study (DARS) Group, Daniel Becker, Giuseppe Panuccio, Bertrand Marcheix, Mario D’Oria, Mollynda McArthur, Paolo Beretta, Petroula Nana, Piergiorgio Bruno, Renata Kazue Nakahara Rocha, Sven Peterss, Thibaut Boisroux, Thomas Mesnard, Xavier Chaufour
February 17, 2026

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