Title: Novel Therapy in Ascending Aortic Dissection
题目：升主动脉夹层的新疗法
Author 作者: Semhar Tewelde

Stanford type A (proximal) aortic dissection accounts for ~60% of all aortic dissections
Stanford A型（近端）占所有的主动脉夹层动脉瘤的〜60％
Classic treatment includes direct surgical replacement of the ascending aorta w/prosthetic graft (+/- AV  aortic repair/replacement)
经典的治疗包括直视下做升主动脉人工血管置换手术（+ / - 主动脉瓣修补或置换）
~20-30% of these patients (*institutional dependent) are considered poor candidates for surgery and receive only medical management, which innately results in substandard outcomes
这些患者中的20％-30％（*因医疗机构而异）被认为不适合做手术，只能保守治疗，最终导致不理想的结果
In this study those who were considered poor candidates for surgical repair underwent novel endovascular treatment
在这项研究中，对那些被认为不适合做手术的病人进行了新颖的血管内治疗
Endovascular repair in this study was considered both appropriate and improved traditional medical outcomes in patients who were considered poor candidates 
在这项研究中的血管内修补谁被认为对被认为不适合做手术病人的适宜的并能改善传统的医疗结果 
References 参考文献：
Lu Q, Feng J, et al. Endovascular Repair of Ascending Aortic Dissection A Novel Treatment Option for Patients Judged Unfit for Direct Surgical Repair. J Am Coll Cardiol 2013;61:1917–24