Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Sep 25;10(3):165-169.
doi: 10.3400/avd.ra.17-00061.

Uncomplicated Acute Type B Aortic Dissection: Selection Guidelines for TEVAR

Emilia Krol  1 , Jean M Panneton  1
Affiliations

Uncomplicated Acute Type B Aortic Dissection: Selection Guidelines for TEVAR

Emilia Krol et al. Ann Vasc Dis. .

Abstract

Traditionally, the surgical management of acute type B aortic dissections was reserved for patients with signs of malperfusion, rapid expansion, retrograde dissection or rupture. The adjunct of endovascular techniques has brought a paradigm shift, leaning towards preventing long term dissection complications. Multiple risk factors have been proposed to identify patients at risk for long term aortic complications. The patients, who are offered a prophylactic endovascular therapy for uncomplicated aortic dissection, should be selected carefully, and offered intervention by an experienced team in a high-volume center. (This is a review article based on the invited lecture of the 57th Annual Meeting of Japanese College of Angiology.).

Keywords: aortic remodeling; thoracic endovascular aortic repair; type B aortic dissection; uncomplicated aortic dissection.

PubMed Disclaimer

Figures

None
Fig. 1 Kaplan–Meier analysis for freedom from intervention (%) stratified between study participants with TLV/FLV ratios listed. The dashed line indicated the point at which standard error exceeded 10%. *Statistically different from other groups (P<0.001). [reported with permission from J Vasc Surg 2015; 62: 893–9].
None
Fig. 2 Kaplan–Meier analysis for freedom from aortic-related mortality (%) stratified between study participants with TLV/FLV listed. The dashed line indicates the time point at which standard error exceeds 10%. [reported with permission from J Vasc Surg 2015; 62: 893–9].
None
Fig. 3 Uncomplicated acute type B aortic dissection.
None
Fig. 4 Excellent remodelling of the aorta after TEVAR.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Svensson LG, Crawford ES, Hess KR, et al. Dissection of the aorta and dissecting aortic aneurysm. Improving early and long-term surgical results. Circulation 1990; 82 Suppl: IV24-38. - PubMed
    1. Roselli EE. Thoracic endovascular aortic repair versus open surgery for type-B chronic dissection. J Thorac Cardiovasc Surg 2015; 149 Suppl: S163-7. - PubMed
    1. Trimarchi S, Tolenaar JL, Tsai TT, et al. Influence of clinical presentation on the outcome of acute B aortic dissection: evidence from IRAD. J Cardiovasc Surg (Torino) 2012; 53: 161-8. - PubMed
    1. Tsai TT, Trimarchi S, Nienaber CA. Acute aortic dissection: perspectives from the International Registry of Acute Aortic Dissection (IRAD). Eur J Vasc Endovasc Surg 2009; 37: 149-59. - PubMed
    1. Moulakakis KG, Mylonas SN, Dalainas I, et al. Management of complicated and uncomplicated acute type B dissection. A systematic review and meta-analysis. Ann Cardiothorac Surg 2014; 3: 234-46. - PMC - PubMed

LinkOut - more resources