Thoracic endovascular aortic repair for type B dissection: a ubiquitous treatment option?

نویسندگان

  • Joseph E Bavaria
  • Wilson Y Szeto
چکیده

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Complication of Endoleak and Retrograde Type A Dissection after Stenting of a Ruptured Type B Dissection

Acute aortic syndromes including aortic rupture remain lifethreatening, and represent a unique area in cardiovascular surgery. Thoracic endovascular aortic repair (TEVAR) has become widely accepted as a major option in the treatment of thoracic aortic diseases, particularly for emergency patients such as those with a ruptured dissection [1,2]. We report a case with type B aortic dissection that...

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Thoracic endovascular aortic repair for acute complicated type B aortic dissection: superiority relative to conventional open surgical and medical therapy.

OBJECTIVE This study compared outcomes between thoracic endovascular aortic repair and conventional open surgical and medical therapies for acute complicated type B aortic dissection. METHODS From 2002 to 2010, a total of 170 patients with type B aortic dissections were retrospectively identified from the University of Pennsylvania aortic database. Of these 170 patients, 147 had acute type B ...

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Biomechanical Changes After Thoracic Endovascular Aortic Repair in Type B Dissection: A Systematic Review.

Thoracic endovascular aortic repair (TEVAR) has evolved into an established treatment option for type B aortic dissection (TBAD) since it was first introduced 2 decades ago. Morbidity and mortality have decreased due to the minimally invasive character of TEVAR, with adequate stabilization of the dissection, restoration of true lumen perfusion, and subsequent positive aortic remodeling. However...

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Thoracic endovascular repair for acute type A aortic dissection: operative technique.

Acute type A aortic dissection is a potentially lethal condition which requires immediate diagnostic and therapeutic intervention. Open surgical repair remains the standard of care as survival rates continue to improve in the modern surgical era. Unfortunately, up to twenty percent of patients are denied surgical therapy because they are deemed medically unfit to undergo open repair. The applic...

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Endovascular stenting for type B dissection involving a right-sided aortic arch.

Endovascular stent-graft repair is emerging as the treatment of choice for complicated type B aortic dissection. In this report we describe a patient who presented with type B aortic dissection involving a right-sided aortic arch (RAA), a rare congenital vascular anomaly. The initial aggressive medical treatment proved unsuccessful due to false aneurysm expansion. Given the greater complexity o...

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عنوان ژورنال:
  • Circulation. Cardiovascular interventions

دوره 6 4  شماره 

صفحات  -

تاریخ انتشار 2013