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. 2024 Jul 2;13(13):3897.
doi: 10.3390/jcm13133897.

Discussing on the Aortic Coverage in Type B Aortic Dissection Treatment: A Comprehensive Scoping Review

Daniele Bissacco  1 , Jasper F de Kort  2   3 , Anna Ramella  3 , Sara Allievi  4 , Paolo Bellotti  2 , Renato Casana  5 , Maurizio Domanin  1   2 , Francesco Migliavacca  3 , Santi Trimarchi  1   2
Affiliations

Discussing on the Aortic Coverage in Type B Aortic Dissection Treatment: A Comprehensive Scoping Review

Daniele Bissacco et al. J Clin Med. .

Abstract

Objective: The objective of this study is to investigate and address the question surrounding the determination of the optimal endograft length of coverage during TEVAR for type B aortic dissection (TBAD), with a particular emphasis on the distal landing zone (DLZ).

Data sources: MEDLINE, Scopus, and Web of Science databases were used.

Methods: The PRISMA-ScR statement was followed.

Results: Several variables can contribute to the length of coverage during TEVAR in TBAD patient. Baseline patient's characteristics, TBAD-related features, the type of endoprosthesis, and postoperative graft behaviour may contribute to the choice of coverage.

Conclusions: No robust data have been published regarding the optimal length of TEVAR. Therefore, reporting the percentage of covered aorta and improving computational studies should be valorised to improve postoperative outcomes.

Keywords: TEVAR; aortic dissection; scoping review; thoracic aorta.

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Conflict of interest statement

The authors declare no conflicts of interest for this paper.

Figures

Figure 1
Figure 1
PETTICOAT and e-PETTICOAT technique. CT, Celiac Trunk; RA, Renal Artery; BMS, bare metal stent (Adapted from Kazimierczak et al. [45]).
Figure 2
Figure 2
On the left, clinical workflow from CT images and the selection of the appropriate device size and the postoperative evaluation. On the right, the reconstruction of the aortic model (from CT images) and stent graft model and the results of the numerical simulation. The figure is adapted from 2023, Ramella et al. [72].
See this image and copyright information in PMC

References

    1. Bissacco D., Domanin M., Weaver F.A., Azizzadeh A., Miller C.C., Gable D.R., Piffaretti G., Lomazzi C., Trimarchi S. Differences in Mid-Term Outcomes Between Patients Undergoing Thoracic Endovascular Aortic Repair for Aneurysm or Acute Aortic Syndromes: Report from the Global Registry for Endovascular Aortic Treatment. J. Endovasc. Ther. 2022;29:731–738. doi: 10.1177/15266028211064819. - DOI - PubMed
    1. Domanin M., Bissacco D., Romarowsky R.M., Conti M., Auricchio F., Ferraresi M., Trimarchi S. Drag Forces after Thoracic Endovascular Aortic Repair. General Review of the Literature. Ann. Vasc. Surg. 2021;75:479–488. doi: 10.1016/j.avsg.2021.02.042. - DOI - PubMed
    1. Lombardi J.V., Hughes G.C., Appoo J.J., Bavaria J.E., Beck A.W., Cambria R.P., Charlton-Ouw K., Eslami M.H., Kim K.M., Leshnower B.G., et al. Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections. J. Vasc. Surg. 2020;71:723–747. doi: 10.1016/j.jvs.2019.11.013. - DOI - PubMed
    1. Riambau V., Böckler D., Brunkwall J., Cao P., Chiesa R., Coppi G., Czerny M., Fraedrich G., Haulon S., Jacobs M.J., et al. Editor’s Choice—Management of Descending Thoracic Aorta Diseases: Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS) Eur. J. Vasc. Endovasc. Surg. 2017;53:4–52. doi: 10.1016/j.ejvs.2016.06.005. - DOI - PubMed
    1. MacGillivray T.E., Gleason T.G., Patel H.J., Ldea G.S., Bavaria J.E., Beaver T.M., Chen E.P., Czerny M., Estrera A.L., Firestone S., et al. The Society of Thoracic Surgeons/American Association for Thoracic Surgery clinical practice guidelines on the management of type B aortic dissection. J. Thorac. Cardiovasc. Surg. 2022;163:1231–1249. doi: 10.1016/j.jtcvs.2021.11.091. - DOI - PubMed

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