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Related Experiment Video

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A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats

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Uncomplicated Acute Type B Aortic Dissection: Selection Guidelines for TEVAR.

Emilia Krol¹, Jean M Panneton¹

¹Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, Virginia, USA.

Annals of Vascular Diseases

|November 18, 2017

Summary

Endovascular repair is shifting acute type B aortic dissection management towards preventing long-term issues. Careful patient selection and experienced teams are crucial for prophylactic endovascular therapy in uncomplicated dissections.

Keywords:

aortic remodeling thoracic endovascular aortic repair type B aortic dissection uncomplicated aortic dissection

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Area of Science:

Cardiovascular Surgery
Vascular Medicine
Interventional Cardiology

Background:

Historically, acute type B aortic dissection (TBAD) surgical management focused on emergent complications.
Endovascular techniques have revolutionized TBAD treatment, emphasizing long-term complication prevention.
Identifying high-risk patients for prophylactic intervention is an evolving area.

Purpose of the Study:

To review the paradigm shift in managing acute type B aortic dissections.
To discuss risk factors for long-term complications in TBAD.
To outline criteria for selecting patients for prophylactic endovascular therapy.

Main Methods:

Review of existing literature and clinical guidelines on TBAD management.
Analysis of risk factors associated with long-term aortic complications.
Discussion of endovascular techniques and their role in TBAD.

Main Results:

Endovascular repair is increasingly used for uncomplicated TBAD to prevent future complications.
Several risk factors have been identified that predict long-term adverse events.
Prophylactic endovascular therapy requires careful patient selection.

Conclusions:

The management of acute type B aortic dissections has shifted towards proactive, endovascular approaches.
Careful selection of patients and intervention at high-volume centers by experienced teams are paramount for successful prophylactic endovascular therapy.