» Articles » PMID: 29147169

Uncomplicated Acute Type B Aortic Dissection: Selection Guidelines for TEVAR

Overview
Journal Ann Vasc Dis
Date 2017 Nov 18
PMID 29147169
Citations 6
Authors
Affiliations
Soon will be listed here.
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.).

Citing Articles

Mid-term results of distal anastomosis to the true lumen for chronic type B aortic dissection.

Yamana K, Takami Y, Niwa W, Matsuhashi K, Sakurai Y, Amano K Heart Vessels. 2023; 38(6):849-856.

PMID: 36719451 DOI: 10.1007/s00380-023-02234-z.


Medical therapy versus TEVAR for uncomplicated type B aortic dissection.

Bedi V, Swain P, Yadav A Indian J Thorac Cardiovasc Surg. 2020; 35(Suppl 2):174-178.

PMID: 33061083 PMC: 7525542. DOI: 10.1007/s12055-019-00837-8.


Therapeutic Effect of Rapamycin on Aortic Dissection in Mice.

Hayashi-Hori M, Aoki H, Matsukuma M, Majima R, Hashimoto Y, Ito S Int J Mol Sci. 2020; 21(9).

PMID: 32397282 PMC: 7246910. DOI: 10.3390/ijms21093341.


Aortic growth and development of partial false lumen thrombosis are associated with late adverse events in type B aortic dissection.

Higashigaito K, Sailer A, van Kuijk S, Willemink M, Hahn L, Hastie T J Thorac Cardiovasc Surg. 2019; 161(4):1184-1190.e2.

PMID: 31839226 PMC: 10552621. DOI: 10.1016/j.jtcvs.2019.10.074.


Assessing Aortic Remodeling after Thoracic Endovascular Aortic Repair (TEVAR) in DeBakey IIIb Aortic Dissection: A Retrospective Study.

Zhou W, Yu W, Wang Y, Li Y, Sheng W, Wang Q Ann Thorac Cardiovasc Surg. 2018; 25(1):46-55.

PMID: 30305479 PMC: 6388301. DOI: 10.5761/atcs.oa.18-00167.


References
1.
Kamman A, Brunkwall J, Verhoeven E, Heijmen R, Trimarchi S . Predictors of aortic growth in uncomplicated type B aortic dissection from the Acute Dissection Stent Grafting or Best Medical Treatment (ADSORB) database. J Vasc Surg. 2016; 65(4):964-971.e3. DOI: 10.1016/j.jvs.2016.09.033. View

2.
. Mid-term outcomes and aortic remodelling after thoracic endovascular repair for acute, subacute, and chronic aortic dissection: the VIRTUE Registry. Eur J Vasc Endovasc Surg. 2014; 48(4):363-71. DOI: 10.1016/j.ejvs.2014.05.007. View

3.
Tolenaar J, van Keulen J, Trimarchi S, Jonker F, van Herwaarden J, Verhagen H . Number of entry tears is associated with aortic growth in type B dissections. Ann Thorac Surg. 2013; 96(1):39-42. DOI: 10.1016/j.athoracsur.2013.03.087. View

4.
Rodriguez J, Olsen D, Lucas L, Wheatley G, Ramaiah V, Diethrich E . Aortic remodeling after endografting of thoracoabdominal aortic dissection. J Vasc Surg. 2008; 47(6):1188-94. DOI: 10.1016/j.jvs.2008.01.022. View

5.
Nienaber C, Kische S, Rousseau H, Eggebrecht H, Rehders T, Kundt G . Endovascular repair of type B aortic dissection: long-term results of the randomized investigation of stent grafts in aortic dissection trial. Circ Cardiovasc Interv. 2013; 6(4):407-16. DOI: 10.1161/CIRCINTERVENTIONS.113.000463. View