IMR Press / RCM / Volume 13 / Issue 4 / DOI: 10.3909/ricm0629
Open Access Review
Endovascular Management of Acute Complicated Type B Aortic Dissection in North America
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1 Division of Cardiothoracic Surgery, Cedars Sinai Medical Center, Los Angeles, CA
2 Division of Vascular and Endovascular Surgery, Harbor-UCLA Medical Center, Torrance, CA
Rev. Cardiovasc. Med. 2012 , 13(4), 176–184; https://doi.org/10.3909/ricm0629
Published: 30 December 2012
Abstract
The management of patients with complicated acute type B aortic dissection is challenging. Thoracic endovascular aortic repair has shown promising results in small series; however, using nonstandard definitions and improper inclusion criteria confounds the published results. This article reviews the techniques and outcome of patients who underwent endovascular treatment for complicated acute type B aortic dissection in North America. Primary stent grafting for treatment of complicated acute type B aortic dissection compares favorably with the surgical outcome. Thoracic aortic endovascular repair can be offered with a relatively low postoperative morbidity and mortality in experienced hands. It also appears to have a favorable outcome in mid-term follow-up. Longevity of the repair and durability of the stent grafts in the thoracic aorta are yet to be established.
Keywords
Aortic dissection
Acute aortic syndrome
Thoracic endovascular aortic repair
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