Open AccessAcute type B aortic dissection: update on proper management
Author(s) -
Georgios Geropapas,
George Galyfos,
Ioannis Stefanidis,
Ioannis Stamatatos,
Stavros Kerasidis,
Sotirios Giannakakis,
Georgios Kastrisios,
Gerasimos Papacharalampous,
Chrisostomos Maltezos
Publication year - 2014
Publication title -
journal of acute disease
Language(s) - English
Resource type - Journals
eISSN - 2589-5516
pISSN - 2221-6189
DOI - 10.1016/s2221-6189(14)60058-5
Subject(s) - medicine , aortic dissection , conservative management , risk stratification , perioperative , dissection (medical) , surgery , aortic repair , intensive care medicine , aorta , cardiology
This study aims to collect and present all current literature data on the diagnostic and therapeutic management of acute type B aortic dissection. It includes a comprehensive literature search utilizing the following keywords: ‘acute aortic dissection’, ‘type B aortic dissection’, ‘conservative management’, ‘endovascular repair’, ‘open surgery’ and ‘diagnosis’. Uncomplicated acute type B aortic dissection can be effectively managed using conservative management, although open repair is indicated only for complicated cases. Endovascular repair shows promising results in selected patients with increased perioperative risk and without contraindications. Recent evidence supports endovascular repair even in uncomplicated cases, although more data on long-term outcomes are needed. Early risk stratification and evaluation of the patient is crucial for selection of optimal management