Endovascular management of acute aortic dissection

Cardiovascular Diagnosis and Therapy
Mamdouh KhayatDavid M Williams

Abstract

Acute dissection of the thoracic aorta is a potentially life-threatening condition which requires collaborative treatment from multiple specialties for optimal patient outcomes. Dissections involving the ascending aorta and aortic arch have traditionally been managed entirely by surgery, while dissections beyond the arch vessels have most commonly been relegated to medical management. This algorithm has been undergoing a paradigm shift over the past two decades due to improvements in stent graft technology, better understanding of the hemodynamic interactions of the true and false lumen and their influence on organ and limb perfusion, and improvements in medical management and long term surveillance for dissection-related complications. This manuscript includes a brief discussion of the pathogenesis and etiology of dissection, followed by an in-depth review of the medical and endovascular techniques utilized to treat patients afflicted by this condition.

Citations

Feb 9, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Erdem SimsekSarenur Gokben
Mar 3, 2020·Frontiers in Physiology·Xinhao WangWei Guo
Apr 16, 2021·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Jie JinLefeng Qu
Aug 20, 2021·Trends in Cardiovascular Medicine·Andrzej JuraszekBartosz Rylski
Sep 17, 2021·Angiologii︠a︡ i sosudistai︠a︡ khirurgii︠a︡ = Angiology and vascular surgery·D V ChernovaM A Cherniavskiĭ
Aug 12, 2021·Journal of Chest Surgery·Kaushalendra Singh Rathore

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