Fatic Nikola, Nikolic Aleksandar, Vukmirovic Mihailo, Radojevic Nemanja, Zornic Nenad, Banzic Igor, Ilic Nikola, Kostic Dusan, Pajovic Bogdan
Clinical Centre of Montenegro, Medical Faculty, University of Montenegro, Podgorica, Montenegro.
Clinical Centre of Kragujevac, Faculty of Medicine, University of Kragujevac, Kragujevac, Serbia.
Arch Med Sci. 2017 Apr 1;13(3):597-600. doi: 10.5114/aoms.2015.52104. Epub 2016 May 5.
Acute aortic type III dissection is one of the most catastrophic events, with in-hospital mortality ranging between 10% and 12%. The majority of patients are treated medically, but complicated dissections, which represent 15% to 20% of cases, require surgical or thoracic endovascular aortic repair (TEVAR). For the best outcomes adequate blood transfusion support is required. Interest in the relationship between blood type and vascular disease has been established. The aim of our study is to evaluate distribution of blood groups among patients with acute aortic type III dissection and to identify any kind of relationship between blood type and patient's survival.
From January 2005 to December 2014, 115 patients with acute aortic type III dissection were enrolled at the Clinic of Vascular and Endovascular Surgery in Belgrade, Serbia and retrospectively analyzed. Patients were separated into two groups. The examination group consisted of patients with a lethal outcome, and the control group consisted of patients who survived.
The analysis of the blood groups and RhD typing between groups did not reveal a statistically significant difference ( = 0.220).
Our results indicated no difference between different blood groups and RhD typing with respect to in-hospital mortality of patients with acute aortic dissection type III.
急性III型主动脉夹层是最具灾难性的事件之一，院内死亡率在10%至12%之间。大多数患者接受药物治疗，但占病例15%至20%的复杂夹层需要手术或胸主动脉腔内修复术（TEVAR）。为了获得最佳结果，需要充足的输血支持。血型与血管疾病之间的关系已受到关注。我们研究的目的是评估急性III型主动脉夹层患者的血型分布，并确定血型与患者生存之间的任何关系。
2005年1月至2014年12月，塞尔维亚贝尔格莱德血管与血管内外科诊所纳入了115例急性III型主动脉夹层患者，并进行回顾性分析。患者分为两组。检查组由死亡患者组成，对照组由存活患者组成。
两组之间血型和RhD分型分析未显示出统计学上的显著差异（ = 0.220）。
我们的结果表明，不同血型和RhD分型在急性III型主动脉夹层患者的院内死亡率方面没有差异。
