Fever after percutaneous endovascular stent-graft in type B acute aortic dissection

Intern Med. 2011;50(19):2095-8. doi: 10.2169/internalmedicine.50.5733. Epub 2011 Oct 1.

Abstract

Background and purpose: Fever is a common symptom of acute aortic dissection. The beginning time and duration of fever after percutaneous endovascular stent-graft in patients with aortic dissection is not well known. The present study was undertaken to investigate the characteristics of fever after percutaneous endovascular stent-graft in patients with type B aortic dissection.

Methods and results: In this retrospective study the data of a total of 64 patients with type B acute aortic dissection undergoing percutaneous endovascular stent-graft were collected and analyzed. In total, 55 patients (85.9%) had fever after stent-graft. The time of fever onset was during the initial 2 days after interventional procedure (92.7%), and the duration of fever of most patients was not beyond 7 days after stent implantation. The fever before stent implantation was associated with the beginning time of fever after stent implantation, but not with the duration of fever.

Conclusion: The results of this study could provide important reference information for the evaluation of fever before and after interventional treatment in patients with acute aortic dissection.

MeSH terms

  • Adult
  • Aortic Aneurysm / surgery*
  • Aortic Dissection / surgery*
  • Blood Vessel Prosthesis Implantation / adverse effects
  • Endovascular Procedures / adverse effects*
  • Female
  • Fever / etiology*
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / etiology
  • Retrospective Studies
  • Stents / adverse effects*
  • Time Factors